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DR. MICHAEL F REIDY MD NPI 1609950500


NPI Information

NPI: 1609950500
Provider Name: DR. MICHAEL F REIDY, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: YAKIMA VALLEY MEMORIAL PHYSICIANS

PECOS Registration: Yes

Address:
1200 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-0003
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DR. Michael F Reidy, MD is a critical care medicine internal medicine in Flagstaff, AZ with 34 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Michael F Reidy, MD NPI is 1609950500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

1200 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-0003
Fax: (928) 773-1170

The NPI 1609950500 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 10/25/2006 and was last updated on 12/3/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care Medicine36111ARIZONANo
2207RC0200XInternal MedicineCritical Care Medicine19443NEVADANo
3207RP1001XInternal MedicinePulmonary Disease36811NORTH CAROLINANo
4207RP1001XInternal MedicinePulmonary Disease19443NEVADANo
5207RP1001XInternal MedicinePulmonary Disease36111ARIZONANo
6207RC0200XInternal MedicineCritical Care MedicineMD165581OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1158034MEDICAIDARIZONA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.