MR. JOEL WAYNE REYNOLDS (NPI# 1134157233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134157233 |
| Entity Type | Individual |
| Full Name | MR. JOEL WAYNE REYNOLDS |
| Credential | PAC |
| Practice Address |
61 Charles St Deadwood SD 57732-1303 |
| Mailing Address |
353 Fairmont Blvd Atten Mss Rapid City SD 57701-7375 |
| Practice Telephone | 6057226101 |
| Practice Fax Number | 6057196133 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0548 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457722282 | Joel Reynolds | Counselor | 5430 Commerce Blvd, 2g, Rohnert Park, CA 94928 | 2015-10-20 |
| 1972613321 | Joel Crist Reynolds | Urology | 210 N Broad St, Edenton Urology Clinic, Edenton, NC 27932 | 2006-08-30 |
| 1609867209 | Joel Charles Reynolds | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2005-11-02 |
| 1346474376 | Joel Steven Reynolds | Dentist | 1469 29th St, West Des Moines, IA 50266-1302 | 2009-05-05 |
| Street Address |
61 CHARLES ST |
| City | DEADWOOD |
| State | SD |
| Zip Code | 57732-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174590806 | Monument Health Network, Inc. | Ambulance | 61 Charles St, Deadwood, SD 57732-1303 | 2006-03-01 |
| 1164907598 | Regional Health Network, Inc. | Clinical Medical Laboratory | 61 Charles St, Deadwood, SD 57732-1303 | 2018-10-02 |
| 1225544869 | Jim Hermeling | Occupational Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2017-12-19 |
| 1003344789 | Brett M Johnson | Physician Assistant | 61 Charles St, Deadwood, SD 57732-1303 | 2017-05-25 |
| 1619383916 | Urszula Eisner | Physical Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2014-07-08 |
| 1902210917 | Jenna Lampe | Occupational Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2014-06-17 |
| 1275945222 | Regional Health Network Inc. | Home Delivered Meals | 61 Charles St, Deadwood, SD 57732-1303 | 2014-05-27 |
| 1265778328 | Nicholas Liming | Physical Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2012-12-18 |
| 1720214737 | Regional Health Network Inc | Dietitian, Registered | 61 Charles St, Deadwood, SD 57732-1303 | 2009-06-04 |
| 1376769018 | Chad R. Scholten | Pharmacist | 61 Charles St, Deadwood, SD 57732-1303 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699297408 | Megan Quinn | Physical Therapist | 61 Charles Street, Regional Health Lead-deadwood Hospital, Deadwood, SD 57732 | 2017-07-13 |
| 1093718769 | Elizabeth J Sayler | Internal Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-24 |
| 1124563655 | Regional Health Network Inc. | Dietitian, Registered | 71 Charles St, Deadwood, SD 57732 | 2016-12-19 |
| 1144506593 | Ashley Johnson | Pharmacist | 71 Charles Street, Deadwood, SD 57732 | 2011-10-31 |
| 1154471282 | Peggy L Hubbard | Physician Assistant | 71 Charles St, Deadwood, SD 57732 | 2007-01-11 |
| 1376611012 | Joe Ping Chang | Internal Medicine | 71 Charles St, Deadwood, SD 57732 | 2006-12-01 |
| 1346243813 | James T Holloway | Internal Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-27 |
| 1942203419 | Thomas J Groeger | Family Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-27 |
| 1598768251 | Karen S Tjaden | Family Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-24 |
| 1699825190 | Larry Douglas Anderson | Dentist | 11736 Impressive View Drive, Deadwood, SD 57732-0154 | 2007-01-10 |
| Find all providers in zip 57732 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831595545 | Kayla Weisbeck | Physician Assistant | 200 E Havens Ave, Mitchell, SD 57301-0432 | 2014-11-06 |
| 1306269287 | Prairie Community Health Inc. | Physician Assistant | 223 A Street, Dupree, SD 57623-9999 | 2014-01-28 |
| 1528392941 | Marilyn Margaret Roberts | Physician Assistant | Crhc, 24276 166th St, Airport Rd, Eagle Butte, SD 57625-1012 | 2009-10-01 |
| 1255516324 | Harding County Healthcare LLC | Physician Assistant | 209 Ramsland Street, Buffalo, SD 57720-0182 | 2008-01-08 |
| 1790972719 | Angela Blane Chambers | Physician Assistant | 161 S Main St., Mission, SD 57555 | 2007-10-03 |
| 1649348590 | Richard Dunn | Physician Assistant | Pine Ridge Hospital East Highway 18, Pine Ridge, SD 57770-1201 | 2006-11-30 |
| 1649368960 | Gary Neil Wurgler | Physician Assistant | 47226 S Rhonda Ave, Sioux Falls, SD 57108 | 2006-10-11 |
| 1558464446 | Douglas County Memorial Hospital | Physician Assistant | 301 Main Street, Stickney, SD 57375-0014 | 2006-09-06 |
| 1760493811 | Renette Lynne Kroupa | Physician Assistant | Hwy 34/47, Fort Thompson, SD 57339 | 2006-08-11 |
| 1356375992 | Ruth M Thomas | Physician Assistant | Soldier Creek Road,box 400, Rosebud Indian Health Service Hospital, Rosebud, SD 57570-0400 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
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| 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.