DR. MICHAEL LEROY REYNOLDS (NPI# 1073579066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073579066 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LEROY REYNOLDS |
| Other Name | DR. MICHAEL REYNOLDS |
| Credential | M.D. |
| Practice Address |
912 Third Street Suite 101 Greensboro NC 27405-6967 |
| Mailing Address |
Po Box 29568 Greensboro NC 27429-9568 |
| Practice Telephone | 3362732511 |
| Practice Fax Number | 3363700287 |
| Mailing Telephone | 3362732511 |
| Mailing Fax Number | 3363700287 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2010-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2001-00453 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PALMETTO GBA RR MEDICARE | 130023851 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035655 | Michael Justin Reynolds | Home Health Aide | 3926 Southern Ave Se, 101, Washington, DC 20020-2002 | 2020-08-25 |
| 1578105243 | Michael L Reynolds | Dentist | 7742 Herschel Ave Ste I, La Jolla, CA 92037-4444 | 2019-10-14 |
| 1568769743 | Michael David Reynolds | Rehabilitation Practitioner | 6486 Violet Breeze Way, Las Vegas, NV 89142-0997 | 2011-02-23 |
| 1881913150 | Michael Henry Reynolds II | Social Worker | 32790 State Highway 99 S, Stonewall, OK 74871-6128 | 2010-05-25 |
| 1164740767 | Michael W Reynolds | Social Worker | 108 Lincoln Rd Nw, Lake Placid, FL 33852-9728 | 2010-05-07 |
| 1942534714 | Michael P Reynolds | Occupational Therapy Assistant | 2457 N 81st St, Wauwatosa, WI 53213-1012 | 2009-09-28 |
| 1861654626 | Michael Thomas Reynolds | Dentist | 625 E. Nicollet Blvd, Suite 340, Burnsville, MN 55337 | 2008-07-01 |
| 1457319543 | Michael J Reynolds | Anesthesiology | 4821 Montgomery Ln, 801, Bethesda, MD 20814-3471 | 2006-05-01 |
| 1669436770 | Michael Bryan Reynolds | Family Medicine | 3480 Deltona Blvd, Spring Hill, FL 34606-2917 | 2006-04-14 |
| 1265418560 | Michael Connell Reynolds | Counselor | 251 Country Club Dr, Eden, NC 27288-3554 | 2005-12-19 |
| Street Address |
912 THIRD STREET SUITE 101 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-6967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205892890 | Guilford Neurologic Associates, Inc. | Specialist | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-04-24 |
| 1699920991 | Vikram Reddy Penumalli | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2008-12-01 |
| 1528257219 | Charles R. Stewart | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2007-10-18 |
| 1508056680 | Yijun Yan | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2007-07-26 |
| 1902922073 | Nancy Carolyn Martin | Nurse Practitioner | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2007-03-21 |
| 1679520050 | David Russell Smith | Physician Assistant | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-05-30 |
| 1528024536 | James M. Love | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-04-26 |
| 1427014497 | Charles Keith Willis | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-04-26 |
| 1972560894 | Pramod Sethi | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-04-26 |
| 1588620066 | Carmen Dohmeier | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| 1649500158 | Olukayode Oluseun Onasanya | Psychiatry & Neurology | 3820 N Elm St Ste 104, Greensboro, NC 27455-2881 | 2010-01-05 |
| 1174543805 | Richard A. Sater | Psychiatry & Neurology | 912 3rd St Ste 101, Greensboro, NC 27405 | 2006-07-19 |
| 1811943343 | Saima Athar | Psychiatry & Neurology | 912 3rd St, Suite 101, Greensboro, NC 27405-6967 | 2006-05-26 |
| 1043219884 | Eliot Julian Lewit | Psychiatry & Neurology | 2721 Horse Pen Creek Rd, Ste 104, Greensboro, NC 27410-8387 | 2005-07-14 |
| 1407403710 | Novant Medical Group Inc | Psychiatry & Neurology | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-21 |
| 1508006776 | Donika Patel | Psychiatry & Neurology | 301 E Wendover Ave, Suite 211, Greensboro, NC 27401-1230 | 2009-03-02 |
| 1740441286 | Adam R. Jaffe | Psychiatry & Neurology | 301 E Wendover Ave, Greensboro, NC 27401-1230 | 2008-06-18 |
| 1528257219 | Charles R. Stewart | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2007-10-18 |
| 1508056680 | Yijun Yan | Psychiatry & Neurology | 912 Third Street, Suite 101, Greensboro, NC 27405-6967 | 2007-07-26 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on DR. MICHAEL LEROY REYNOLDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.