Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 0101059209 | VA |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 14325 | NH |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 49336 | MA |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | D541153 | MD |
N | 207Q00000X | Family Doctor | 0101059209 | VA |
N | 207Q00000X | Family Doctor | 14325 | NH |
N | 207Q00000X | Family Doctor | 49336 | MA |
N | 207Q00000X | Family Doctor | 7879 | AZ |
Y | 207Q00000X | Family Doctor | D54153 | MD |
N | 207QA0505X | Family Doctor - Adult Medicine | 0101059209 | VA |
NPI | 1205932910 |
---|---|
Provider Name | Dr. John Charles Reed |
First Address | Falls Church, VA 22046-4125 |
Second Address | Oakton, VA 22124-1761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 18/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D44387 | (02) | VA |