Provider Demographics
NPI:1851593347
Name:TC REED DPM
Entity Type:Organization
Organization Name:TC REED DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TRENA
Authorized Official - Middle Name:CORLENE
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:419-425-3338
Mailing Address - Street 1:714 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-4909
Mailing Address - Country:US
Mailing Address - Phone:419-425-3338
Mailing Address - Fax:419-425-1536
Practice Address - Street 1:714 BEECH AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-4909
Practice Address - Country:US
Practice Address - Phone:419-425-3338
Practice Address - Fax:419-425-1536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH2833213E00000X
OHOH 2833213EP1101X, 213ES0000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports MedicineGroup - Single Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0205665Medicaid
OHTC9286371Medicare PIN
OH0205665Medicaid
OHRE0790483Medicare PIN