Provider Demographics
NPI:1386620540
Name:REED, DAVID GEORGE (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:GEORGE
Last Name:REED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7087 WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-7333
Mailing Address - Country:US
Mailing Address - Phone:330-758-0591
Mailing Address - Fax:330-758-8491
Practice Address - Street 1:7087 WEST BLVD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-7333
Practice Address - Country:US
Practice Address - Phone:330-758-0591
Practice Address - Fax:330-758-8491
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-02-6773-R207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0458973Medicaid
B96550Medicare UPIN
0495382Medicare ID - Type Unspecified