Individual
DR. JEFFREY DAWSON REICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7388 TURFWAY RD, FLORENCE, KY 41042-1381
(859) 287-3045
(859) 525-8806
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 287-3045
(859) 525-8806
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01091157A
IN
207RC0000X
Cardiovascular Disease Physician
35.075843
OH
207RC0000X
Cardiovascular Disease Physician
Primary
36485
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00954003
MEDICARE PTAN
KY
01
—
0369020
MEDICARE
KY
01
—
0369213
MEDICARE
KY
01
—
0562620
MEDICARE
KY
05
—
2216257
—
OH
01
—
50024708
PASSPORT MEDICAID
KY
01
—
611300608066
CARESOURCE
OH
05
—
64028780
—
KY
01
—
P00239000
RAILROAD MEDICARE
—
01
—
P00752846
RR MEDICARE PTAN
KY
01
—
P00922867
RAILROAD MEDICARE
KY
Enumeration date
07/05/2005
Last updated
12/18/2025
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