KIM MICHAEL REICHERT DPM NPI 1710955752

NPI Information

NPI: 1710955752
Provider Name: KIM MICHAEL REICHERT, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

Address:
2900 FRANK SCOTT PKWY W
SUITE 900
BELLEVILLE, IL
ZIP 62223
Phone: (618) 277-5700
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Kim Michael Reichert, DPM is a foot surgery podiatrist in Belleville, IL. Kim Michael Reichert, DPM NPI is 1710955752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2900 FRANK SCOTT PKWY W
SUITE 900
BELLEVILLE, IL
ZIP 62223-000
Phone: (618) 277-5700
Fax: (618) 257-7049

The enumeration date for this NPI number is 3/8/2006 and was last updated on 4/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	016-003257	ILLINOIS	No
2	213ES0131X	Podiatrist	Foot Surgery	016003257	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	102179	OTHER	ILLINOIS	HEALTHLINK
2	STL2750010	OTHER		UHC
3	T37882	MEDICARE UPIN	ILLINOIS
4	601-15944	OTHER	ILLINOIS	BC/BS
5	4134729	OTHER	ILLINOIS	AETNA
6	L65716	MEDICARE PIN	ILLINOIS
7	480026528	OTHER	ILLINOIS	RAILROAD MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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