MEDICARE: DR. DAVID A REIMERS D.O.

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	207L00000X	Anesthesiology Physician	102530	MO
2	207L00000X	Anesthesiology Physician	036085742	IL

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	:	1184620544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A REIMERS D.O.

Provider Business Mailing Address
First Line	:	150 BLUFF AVE
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29841-3862
Country	:	US
Telephone Number	:	800-394-4445
Fax Number	:	706-650-1034

Provider Business Practice Location Address
First Line	:	5921 MERIDIAN WOODS
Second Line	:
City	:	GLEN CARBON
State	:	IL
Zip	:	62034-1545
Country	:	US
Telephone Number	:	618-391-5883
Fax Number	:

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

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	04/13/2017

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