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DR. CHARLES TYLER REIDHEAD M.D. NPI 1912913716


NPI Information

NPI: 1912913716
Provider Name: DR. CHARLES TYLER REIDHEAD, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
200 W. HOSPITAL DRIVE
WHITERIVER, AZ
ZIP 85941
Phone: (928) 338-4911
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DR. Charles Tyler Reidhead, M.D. is an internal medicine in Whiteriver, AZ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Charles Tyler Reidhead, M.D. NPI is 1912913716. 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:

200 W. HOSPITAL DRIVE
WHITERIVER, AZ
ZIP 85941
Phone: (928) 338-4911
Fax: (928) 338-1122

The enumeration date for this NPI number is 8/1/2006 and was last updated on 12/15/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine25107ARIZONAYes

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
1409856MEDICAIDARIZONA
21295993376MEDICAIDARIZONA
31871523191MEDICAIDARIZONA
41780614008MEDICAIDARIZONA
51629236716MEDICAIDARIZONA
6H58458MEDICARE UPINARIZONA
78HZG33MEDICARE ID-TYPE UNSPECIFIEDARIZONA

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

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