MEDICARE: JAY REED MD PC

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	23790	CO

General Provider Information

NPI Number	:	1265464069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAY REED MD PC

Provider Business Mailing Address
First Line	:	1236 E ELIZABETH ST
Second Line	:	SUITE 2
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4000
Country	:	US
Telephone Number	:	970-488-1668
Fax Number	:	970-472-9381

Provider Business Practice Location Address
First Line	:	3609 EL CAMINITO ST
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80537-7411
Country	:	US
Telephone Number	:	970-667-8236
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAY A REED
Credential	:	M.D.
Telephone Number	:	970-667-8236

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	04/30/2013

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