MEDICARE: ROBIN A. REAMS M.D.

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	2085R0001X	Radiation Oncology Physician	22057	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4000501	OTHER	KY	MEDICARE LAB GROUP
2	CA5414	OTHER	KY	RR MEDICARE GROUP
5	P00107595	OTHER	KY	RR MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346269933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN A. REAMS M.D.

Provider Business Mailing Address
First Line	:	1707 CUMBERLAND FALLS HWY
Second Line	:	SUITE U2
City	:	CORBIN
State	:	KY
Zip	:	40701-2743
Country	:	US
Telephone Number	:	606-523-2200
Fax Number	:	606-528-6653

Provider Business Practice Location Address
First Line	:	1707 CUMBERLAND FALLS HWY
Second Line	:	SUITE U2
City	:	CORBIN
State	:	KY
Zip	:	40701-2743
Country	:	US
Telephone Number	:	606-523-2200
Fax Number	:	606-528-6653

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	11/02/2007

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Directions to “ ROBIN A. REAMS M.D.” Practice Location

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