DR. REID MAXWELL FURSMIDT MD
NPI 1083474001
Student in an Organized Health Care Education/Training Program in Beavercreek, OH

Active since March 19, 2024PECOS Enrolled
2145 N FAIRFIELD RD STE 100, BEAVERCREEK, OH 45431(937) 558-3900(937) 558-3999 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Reid Maxwell Fursmidt Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. REID MAXWELL FURSMIDT MD (NPI 1083474001) is an individual student in an organized health care education/training program in Beavercreek, Ohio and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083474001
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. REID MAXWELL FURSMIDTCredential: MD
Location Address2145 N FAIRFIELD RD STE 100Beavercreek, OH 45431-2783
Mailing Address2145 N Fairfield Rd Ste 100Beavercreek, OH 45431-2783 · (937) 558-3900
Fax(937) 558-3999
Sole ProprietorNo
Enumeration DateMarch 19, 2024
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
NPI 1083474001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2145 N FAIRFIELD RD STE 100, Beavercreek, OH 45431

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Reid Maxwell Fursmidt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Family Medicine
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Family Medicine
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Family Medicine
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083474001, enumerated as an "individual" on March 19, 2024.

The provider is located at 2145 N FAIRFIELD RD STE 100 BEAVERCREEK, OH 45431 and the phone number is (937) 558-3900.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.