MEDICARE: JOHN HERBERT REES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085N0700X	Neuroradiology Physician	D0047894	MD
2	2085R0202X	Diagnostic Radiology Physician	ME73861	FL
3	2085R0202X	Diagnostic Radiology Physician	D0047894	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	42226T	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033199344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN HERBERT REES M.D.

Provider Business Mailing Address
First Line	:	7103 WILD HORSE CIR
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34241-9610
Country	:	US
Telephone Number	:	571-220-0165
Fax Number	:

Provider Business Practice Location Address
First Line	:	7103 WILD HORSE CIR
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34241-9610
Country	:	US
Telephone Number	:	571-220-0165
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	08/21/2017

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Directions to “ JOHN HERBERT REES M.D.” Practice Location

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