MEDICARE: STEPHEN D. REINHARDT MD

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	207Q00000X	Family Medicine Physician	0101034345	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0013	OTHER	VA	UNITED HEALTHCARE
2	2128667	OTHER	VA	MAMSI
3	249152	OTHER	VA	SOUTHERN HEALTH
4	540883363	OTHER	VA	PHCS
5	4063677	OTHER	VA	AETNA
6	540883363	OTHER	VA	FIRST HEALTH/CCN
7	540883363	OTHER	VA	PREFERRED CARE
8	95885	OTHER	VA	OPTIMA
9	540883363	OTHER	VA	CHAMPUS-TRICARE
10	540883363	OTHER	VA	GREAT WEST HEALTHCARE
11	540883363	OTHER	VA	VIRGINIA HEALTH NETWORK
12	1458163	OTHER	VA	CIGNA
13	158023	OTHER	VA	ANTHEM
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437101250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN D. REINHARDT MD

Provider Business Mailing Address
First Line	:	229 WADSWORTH DR
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-4510
Country	:	US
Telephone Number	:	804-228-3627
Fax Number	:	804-560-1312

Provider Business Practice Location Address
First Line	:	229 WADSWORTH DR
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-4510
Country	:	US
Telephone Number	:	804-228-3627
Fax Number	:	804-560-1312

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/24/2013

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