MATHEW CLAYTON REID P.A. NPI 1972557114

NPI Information

NPI: 1972557114
Provider Name: MATHEW CLAYTON REID, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1229 E SEMINOLE ST
SUITE 320
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 820-2064
Get Directions

Mathew Clayton Reid, P.A. is a surgical physician assistant in Springfield, MO with 21 years of experience. Mathew Clayton Reid, P.A. NPI is 1972557114. 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:

1229 E SEMINOLE ST
SUITE 320
SPRINGFIELD, MO
ZIP 65804-227
Phone: (417) 820-2064

The NPI 1972557114 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 5/20/2006 and was last updated on 1/18/2017.

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	2004008966	MISSOURI	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	20814	OTHER	MISSOURI	COX HEALTH PLANS UPI
2	000097106	MEDICARE PIN	MISSOURI
3	0602000	OTHER	MISSOURI	UNITED HEALTHCARE
4	502277007	MEDICAID	MISSOURI
5	132680869	MEDICARE PIN	MISSOURI
6	Q20276	MEDICARE UPIN	MISSOURI
7	18942	OTHER	MISSOURI	COX HEALTH PLANS
8	6749504	OTHER	MISSOURI	CIGNA HEALTHCARE
9	Q20276	OTHER	MISSOURI	USPS (W/C)
10	667028	OTHER	MISSOURI	HEALTHLINK
11	P00141596	MEDICARE PIN	MISSOURI
12	190142	OTHER	MISSOURI	BLUE CROSS/CHOICE

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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