MITCHELL S REESE MD NPI 1760456107

NPI Information

NPI: 1760456107
Provider Name: MITCHELL S REESE, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1508 WILLOW LAWN DR
STE 117
RICHMOND, VA
ZIP 23230
Phone: (804) 282-8102
Get Directions

Mitchell S Reese, MD is a diagnostic radiology radiology in Richmond, VA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mitchell S Reese, MD NPI is 1760456107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1508 WILLOW LAWN DR
STE 117
RICHMOND, VA
ZIP 23230-421
Phone: (804) 282-8102
Fax: (804) 282-3744

The enumeration date for this NPI number is 2/14/2006 and was last updated on 4/25/2008.

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	2085B0100X	Radiology	Body Imaging	0101028439	VIRGINIA	No
2	2085N0700X	Radiology	Neuroradiology	0101028439	VIRGINIA	No
3	2085N0904X	Radiology	Nuclear Radiology	0101028439	VIRGINIA	No
4	2085P0229X	Radiology	Pediatric Radiology	0101028439	VIRGINIA	No
5	2085U0001X	Radiology	Diagnostic Ultrasound	0101028439	VIRGINIA	No
6	2085R0202X	Radiology	Diagnostic Radiology	0101028439	VIRGINIA	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	007201435	MEDICAID	VIRGINIA
2	007201401	MEDICAID	VIRGINIA
3	224564	OTHER	VIRGINIA	ANTHEM
4	010132908	MEDICAID	VIRGINIA
5	010250064	MEDICAID	VIRGINIA
6	007216246	MEDICAID	VIRGINIA
7	007238860	MEDICAID	VIRGINIA
8	300001391	MEDICARE PIN	VIRGINIA
9	P00215273	MEDICARE PIN	VIRGINIA

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: 4/28/2024

NPI Synchronization or Removal

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