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JACK R REID JR MD LLC
NPI 1356538433
Family Medicine in Walker, LA

Active since October 02, 2007
5000 ODONAVAN BLVD STE 307, WALKER, LA 70785(225) 791-3117(225) 791-3122 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack R Reid Jr Md Llc NPPES

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

JACK R REID JR MD LLC (NPI 1356538433) is a healthcare organization registered as a family medicine in Walker, Louisiana and active in the NPI registry since October 2007. The organization lists Jack R Reid, Owner, as its authorized official.

NPPES Registry Identity

NPI1356538433
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACK R REID JR MD LLC
Location Address5000 ODONAVAN BLVD STE 307Walker, LA 70785-6355
Mailing AddressPo Box 68Oklahoma City, OK 73101-0068 · (225) 791-3117 · Fax (225) 791-3122
Phone(225) 791-3117
Fax(225) 791-3122
Organization SubpartNo
Authorized OfficialJack R ReidOwner · (225) 791-3117
Enumeration DateOctober 2, 2007
Last NPPES UpdateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1356538433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5000 ODONAVAN BLVD STE 307, Walker, LA 70785
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Other Identifiers 2

OtherDF0604LA · Railroad Mcare
OtherG5769LA · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JACK R REID JR. MD
Internal Medicine
5000 ODONAVAN BLVD STE 307
WALKER, LA 70785
Livingston Parish (225) 791-3117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack R Reid Jr MD LLC's NPI number?

The NPI number for Jack R Reid Jr MD LLC is 1356538433. It was assigned to this organization in the NPPES registry on October 2, 2007.

Where is Jack R Reid Jr MD LLC located?

Jack R Reid Jr MD LLC is located at 5000 Odonavan Blvd Ste 307, Walker, LA 70785. The listed phone number is (225) 791-3117.

What is Jack R Reid Jr MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jack R Reid Jr MD LLC was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.