Provider Demographics
NPI:1881784106
Name:REED, JANIS ENGLISH (MD)
Entity type:Individual
Prefix:DR
First Name:JANIS
Middle Name:ENGLISH
Last Name:REED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5923 BRAEBURN PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-2803
Mailing Address - Country:US
Mailing Address - Phone:412-362-6064
Mailing Address - Fax:412-362-6665
Practice Address - Street 1:2101 JACOB ST
Practice Address - Street 2:SUITE 401
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3800
Practice Address - Country:US
Practice Address - Phone:304-234-1863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033138E207W00000X
WV17583207W00000X
OH35066784207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHOH 0723837Medicaid
OH4158511Medicare PIN
OHOH 0723837Medicaid