National Provider Identifier Database

JAMES M REIDY, DO – NPI #1174551014
Plastic Surgery within the Head & Neck

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.


Contact Information

JAMES M REIDY, DO
2680 S VAL VISTA DR
BLDG 13, UNIT 175
GILBERT, AZ85295-2152
Phone: 480-784-0110
Fax: 480-784-0220
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X

* Indicates primary specialty

NPI Profile & details for JAMES M REIDY

NPI Number 1174551014
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/29/2006
Last updated 08/28/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: 4012
  • AZ Medicaid: 876617
  • AZ Other: AZ0762840 BLUE CROSS OF AZ
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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