MEDICARE: DR. MARK A REED MD

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	E3497	AR

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
2	5M339	OTHER	AR	AR BCBS

General Provider Information

NPI Number	:	1831185347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK A REED MD

Provider Business Mailing Address
First Line	:	963 SE CAMANO DR
Second Line	:
City	:	CAMANO ISLAND
State	:	WA
Zip	:	98282-8489
Country	:	US
Telephone Number	:	206-419-7297
Fax Number	:

Provider Business Practice Location Address
First Line	:	963 SE CAMANO DR
Second Line	:
City	:	CAMANO ISLAND
State	:	WA
Zip	:	98282-8489
Country	:	US
Telephone Number	:	206-419-7297
Fax Number	:

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

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	03/27/2020

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Directions to “ DR. MARK A REED MD” Practice Location

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