Healthcare Provider Details

I. General information

NPI: 1295933042
Provider Name (Legal Business Name): MELISSA LYNN REED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8123 CASTLETON RD
INDIANAPOLIS IN
46250-2006
US

IV. Provider business mailing address

8123 CASTLETON RD
INDIANAPOLIS IN
46250-2006
US

V. Phone/Fax

Practice location:
  • Phone: 317-777-1034
  • Fax: 855-277-4349
Mailing address:
  • Phone: 317-777-1034
  • Fax: 855-277-4349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number01070179A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number01070179A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberLL30016
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: