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General NPI Number Information
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NPI Number | 1528028719
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Entity Type | Individual
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Provider Name | SCOTT FREDRIC REED MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 109 PHILIP ROTH ST
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-1393
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Country | US
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Telephone | 757-873-6434
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Fax | 757-873-1882
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Provider Business Mailing Address
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Address Line | 856 J CLYDE MORRIS BLVD SUITE A
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1318
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Country | US
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Telephone | 757-594-4006
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101232647
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 0101232647
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License Number State | VA
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