MEDICARE: MR. MENDEL S REID 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	208600000X	Surgery Physician	35-066220	OH

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

General Provider Information

NPI Number	:	1952488207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MENDEL S REID MD

Provider Business Mailing Address
First Line	:	1430 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207
Country	:	US
Telephone Number	:	419-542-0940
Fax Number	:	419-542-0941

Provider Business Practice Location Address
First Line	:	1430 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-1045
Country	:	US
Telephone Number	:	419-542-0940
Fax Number	:	419-542-0941

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	10/19/2012

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