Provider Demographics
NPI:1053357202
Name:READING, JEREMY KENNETH (MD)
Entity type:Individual
Prefix:
First Name:JEREMY
Middle Name:KENNETH
Last Name:READING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3100 SPRING FOREST RD 130
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-2880
Mailing Address - Country:US
Mailing Address - Phone:919-882-0706
Mailing Address - Fax:919-882-0706
Practice Address - Street 1:3000 NEW BERN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1231
Practice Address - Country:US
Practice Address - Phone:919-350-5645
Practice Address - Fax:919-350-7385
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200600687207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC191574OtherMEDCOST
NC5904530Medicaid
NCP00354977OtherRAILRAOD-MEDICARE
NC143GAOtherBCBC
NC2318144OtherCIGNA
NC808304OtherPARTNERS
NC2055846Medicare PIN
NC2318144OtherCIGNA