Provider Demographics
NPI:1366862096
Name:REED, BELINDA (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4391 STATE ROUTE 47 E
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-9546
Mailing Address - Country:US
Mailing Address - Phone:951-415-2646
Mailing Address - Fax:
Practice Address - Street 1:1435 SHOUP MILL RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-3978
Practice Address - Country:US
Practice Address - Phone:937-275-3488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA16204363A00000X
OH50.008060363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant