DIXIE JUNE REID PA-C NPI 1730198391

NPI Information

NPI: 1730198391
Provider Name: DIXIE JUNE REID, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ
ZIP 85234
Phone: (480) 256-6444
Get Directions

Dixie June Reid, PA-C is a surgical physician assistant in Gilbert, AZ with 28 years of experience. Dixie June Reid, PA-C NPI is 1730198391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2946 E BANNER GATEWAY DRIVE
GILBERT, AZ
ZIP 85234-165
Phone: (480) 256-6444
Fax: (480) 256-3682

The NPI 1730198391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 11/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA2010-0001	NEW MEXICO	No
2	363AS0400X	Physician Assistant	Surgical	2162	OKLAHOMA	No
3	363AS0400X	Physician Assistant	Surgical	8449	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	09639829	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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