DR. CHRISTOPHER STEPHEN REYNOLDS (NPI# 1134563653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134563653 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER STEPHEN REYNOLDS |
| Credential | M.D. |
| Practice Address |
240 Willow St Tyler MN 56178-1201 |
| Practice Telephone | 5072475591 |
| Mailing Telephone | 5072475591 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 68049 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 26526 | WV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124492962 | Christopher D Reynolds | Contractor | 190 Steele Rd, Clarion, PA 16214-2458 | 2015-11-17 |
| 1689807323 | Christopher R Reynolds | Massage Therapist | 37 Main Street, Belchertown, MA 01007-0969 | 2009-08-28 |
| 1831324219 | Christopher Thomas Reynolds | Dentist | 12 Arley Way # B, Suite 104, Bluffton, SC 29910-8859 | 2009-05-28 |
| 1235348517 | Christopher Robert Reynolds | Counselor | 600 Cordova St Ste 4, Anchorage, AK 99501-3782 | 2007-05-22 |
| 1124057609 | Christopher A. Reynolds | Radiology | 3750 E Via Palomita, Apt 4103, Tucson, AZ 85718-3355 | 2006-06-30 |
| 1669432332 | Christopher John Reynolds | Optometrist | 10615 Williams Rd, Mint Hill, NC 28227-9006 | 2006-03-25 |
| 1235741117 | Christopher Reynolds | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2020-08-20 |
| 1144887704 | Christopher Jonathan Reynolds | Pharmacist | 1528 Main St, Parsons, KS 67357-3333 | 2019-05-20 |
| 1194263293 | Christopher John Reynolds | Student in an Organized Health Care Education/Training Program | 5131 Beacon Hill Rd, Suite 160, Columbus, OH 43228-4442 | 2017-02-08 |
| 1053869925 | Christopher L Reynolds | Nurse Practitioner | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2016-09-20 |
| Street Address |
240 WILLOW ST |
| City | TYLER |
| State | MN |
| Zip Code | 56178-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174501159 | Enrico Ocampo | Internal Medicine | 240 Willow St, Tyler, MN 56178-1166 | 2006-01-09 |
| 1467927657 | Travis Erickson | Nurse Practitioner | 240 Willow St, Tyler, MN 56178-1201 | 2018-10-04 |
| 1003392911 | Gail Beck | Occupational Therapy Assistant | 240 Willow St, Tyler, MN 56178-1201 | 2018-07-13 |
| 1669906053 | Michelle Reynolds | Family Medicine | 240 Willow St, Tyler, MN 56178-1201 | 2017-04-12 |
| 1235186230 | Richard L Klingler | Family Medicine | 240 Willow St, Tyler, MN 56178-1166 | 2006-05-27 |
| 1821042920 | Avera Tyler | Skilled Nursing Facility | 240 Willow St, Tyler, MN 56178-1166 | 2006-05-22 |
| 1649223439 | Avera Tyler | Clinic/Center | 240 Willow St, Tyler, MN 56178-0240 | 2006-05-19 |
| 1104870948 | Edward B Novak | Family Medicine | 240 Willow St, Tyler, MN 56178-0240 | 2006-05-19 |
| 1992759674 | Avera Tyler | Home Health | 240 Willow St, Tyler, MN 56178-1166 | 2006-05-19 |
| 1225081474 | Robert William Tatreau | Family Medicine | 240 Willow St, Tyler, MN 56178 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689180259 | Align Family Chiropractic LLC | Chiropractor | 117 W Hughes Street, Tyler, MN 56178 | 2017-12-19 |
| 1639235971 | John Rice Utoft | Dentist | 197 North Tyler St, Tyler, MN 56178 | 2006-12-29 |
| 1154415172 | April Rose Hanson | Pharmacist | 240 Willow Street, Tyler, MN 56178 | 2006-10-03 |
| 1285676874 | Koster Pharmacy | Pharmacy | 183 N Tyler St, Tyler, MN 56178 | 2006-06-11 |
| 1104178946 | Candice Lou Vanderplaats | Nurse Practitioner | 240 Willow Street, Tyler, MN 56178 | 2012-10-03 |
| 1184832891 | Tyler Healthcare Center Dba Tyler Healthcare Pharmacy | General Acute Care Hospital | 240 Willow St., Tyler, MN 56178 | 2007-05-18 |
| 1326102237 | Avera Tyler | Medicare Defined Swing Bed Unit | 240 Willow Street, Tyler, MN 56178 | 2006-12-22 |
| 1285687004 | Luann Elizabeth Weber | Physician Assistant | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| 1871546606 | Avera Tyler | Hospice Care, Community Based | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| 1801840517 | Avera Tyler | General Acute Care Hospital | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| Find all providers in zip 56178 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632553 | Christina Kay Baker | Family Medicine | 2333 Dueling Oaks Dr, Tyler, TX 75703-0326 | 2020-02-21 |
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1396389870 | Shelly Lynn Williams | Family Medicine | 1420 W Southwest Loop 323 Ste 100, Tyler, TX 75701-9347 | 2019-10-29 |
| 1891354494 | Beverly Diann Butler | Family Medicine | 5604 Old Bullard Rd Ste 107, Tyler, TX 75703-4359 | 2019-06-07 |
| 1851846018 | Thomas Mason Worthington Jr. | Family Medicine | 9141 Chisholm Trl, Tyler, TX 75703-0409 | 2016-08-17 |
| 1881069557 | The Bradley Clinic of Texas, Pllc | Family Medicine | 1402 Rice Rd, Suite 100, Tyler, TX 75703-3260 | 2015-12-07 |
| 1750764189 | Diabetic Renewal Center LLC | Family Medicine | 1015 Pruitt Pl Ste 105, Tyler, TX 75703-1154 | 2015-07-02 |
| 1013306273 | Pure Radiance Laser Retreat | Family Medicine | 6722 S Broadway Ave, Tyler, TX 75703-4730 | 2015-01-12 |
| 1023412988 | James Kent Gray | Family Medicine | 14843 Big Oak Bay Rd, Tyler, TX 75707-7309 | 2014-10-21 |
| 1346640182 | Morris Mht LLC | Family Medicine | 2030 Stonegate Blvd, Tyler, TX 75703-0103 | 2014-08-29 |
| Find all providers in TYLER | ||||
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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.