Provider Demographics
NPI:1942527551
Name:DAVID G. REED, MD, INC.
Entity Type:Organization
Organization Name:DAVID G. REED, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DAVID G. REED, MD, INC
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-758-0591
Mailing Address - Street 1:7087 WEST BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512
Mailing Address - Country:US
Mailing Address - Phone:330-758-0591
Mailing Address - Fax:330-758-8491
Practice Address - Street 1:7087 WEST BOULEVARD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512
Practice Address - Country:US
Practice Address - Phone:330-758-0591
Practice Address - Fax:330-758-8491
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVID G. REED, MD, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-026773-R207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0458973Medicaid
B96550Medicare UPIN
OH0458973Medicaid