MEDICARE: BELINDA REED PHYSICIAN ASSISTANT

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	363A00000X	Physician Assistant	PA16204	CA
2	363A00000X	Physician Assistant	50.008060	OH

General Provider Information

NPI Number	:	1366862096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA REED PHYSICIAN ASSISTANT

Provider Business Mailing Address
First Line	:	4391 STATE ROUTE 47 E
Second Line	:
City	:	BELLEFONTAINE
State	:	OH
Zip	:	43311-9546
Country	:	US
Telephone Number	:	951-415-2646
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 SHOUP MILL RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45414-3978
Country	:	US
Telephone Number	:	937-275-3488
Fax Number	:

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

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	02/25/2025

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Directions to “ BELINDA REED PHYSICIAN ASSISTANT” Practice Location

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