DR. JOHN WALLIN REYNOLDS (NPI# 1174523310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174523310 |
| Entity Type | Individual |
| Full Name | DR. JOHN WALLIN REYNOLDS |
| Credential | MD |
| Practice Address |
411 W Randolph Rd Hopewell VA 23860-2938 |
| Mailing Address |
Po Box 36559 Richmond VA 23235-8011 |
| Practice Telephone | 8044523643 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
0101037559 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM-RANDOLPH RD. | 224105 | 01 |
| OPTIMAHEALTH | 16685 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437707197 | John Zachary Reynolds | Dentist | 3180 Redeemer Way, New Port Richey, FL 34655-4245 | 2019-08-27 |
| 1871991471 | John Reynolds | Substance Abuse Rehabilitation Facility | 27273 Fm 2090 Rd, Splendora, TX 77372-4632 | 2014-12-12 |
| 1316236441 | John Harold Reynolds | Orthotist | 400 Erin Dr, Knoxville, TN 37919-6205 | 2011-03-29 |
| 1447557442 | John Brently Reynolds II | Counselor | 14 Cottage Park Ave, Cambridge, MA 02140-1606 | 2011-02-28 |
| 1578868139 | John Devaux Reynolds | Naturopath | 4511 Se Hawthorne Blvd Ste 208, Portland, OR 97215 | 2011-01-12 |
| 1225285547 | John Reynolds | Internal Medicine | 7719 Alverstone Ave, Los Angeles, CA 90045-1446 | 2008-08-19 |
| 1487837688 | John A Reynolds | Dentist | 1214 Murfreesboro Rd, Suite 210, Franklin, TN 37064-1302 | 2007-12-11 |
| 1982739157 | John William Reynolds | Dentist | 5939b Gateway Blvd W, El Paso, TX 79925-3301 | 2007-02-21 |
| 1942359641 | John Hall Reynolds | Optometrist | 28 Flint Dr, North East, MD 21901-3746 | 2007-01-10 |
| 1538177043 | John C.g. Reynolds | Dentist | 2826 Broadway Ste 100, Riviera Beach, FL 33404-2308 | 2006-08-03 |
| Street Address |
411 W RANDOLPH RD |
| City | HOPEWELL |
| State | VA |
| Zip Code | 23860-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053954479 | Forward Pathology Solutions LLC | Pathology | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2019-10-18 |
| 1386159556 | Emma Passera | Physician Assistant | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2017-12-08 |
| 1366967309 | Maria Naeem | Internal Medicine | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2017-08-10 |
| 1679924070 | Samantha Leal | Specialist/Technologist | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2016-06-27 |
| 1952762650 | Columbia/hca John Randolph, Inc. | Internal Medicine | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2016-03-09 |
| 1790178176 | Columbia/hca John Randolph, Inc. | Psychiatric Unit | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2015-03-10 |
| 1457782898 | James River Hospitalist Group, LLC | Hospitalist | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2013-12-11 |
| 1477984805 | James River Emergency Group, LLC | Emergency Medicine | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2013-12-11 |
| 1649532813 | Hospitalists of Virginia | Hospitalist | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2012-06-13 |
| 1346366291 | Nilda Jo Tensen | Emergency Medicine | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2007-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851862429 | Tameara Sloan | Specialist | 912 Sycamore Street, Hopewell, VA 23860 | 2018-12-07 |
| 1184100018 | Kirstin Marie Mckay | Registered Nurse | 411 W. Randolph Road, Hopewell, VA 23860 | 2018-07-13 |
| 1326556705 | Lenise Benzina Mazyck | Social Worker | 600 Winston Churchill Drive, 1c, Hopewell, VA 23860 | 2018-01-19 |
| 1003323163 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 2704 Oaklawn Blvd, Hopewell, VA 23860 | 2018-01-10 |
| 1568911261 | Sierra James | Counselor | 2004 Saint.thomas Road, Hopewell, VA 23860 | 2016-09-23 |
| 1588014484 | Trinity Plus 1 Transportation LLC | Non-emergency Medical Transport (VAN) | 108 N. 7th Avenue, Hopewell, VA 23860 | 2016-06-21 |
| 1275988909 | Live, Learn & Love, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4003 Jamestown Drive, Hopewell, VA 23860 | 2016-05-02 |
| 1972982031 | Mohammad Bhuiyan | Physical Therapist | 201 Eppes St, Hopewell, Heritage Healthcare,riverview On The Appomattox, Hopewell, VA 23860 | 2015-05-22 |
| 1982090494 | Pioneer Home Health, Inc. | Home Health | 740 S Bacons Chase, Hopewell, VA 23860 | 2015-04-10 |
| 1700220282 | Briggs Dwd Home Health Care LLC | Clinic/Center | 624 South 6 Avenue, Hopewell, VA 23860 | 2013-04-26 |
| Find all providers in zip 23860 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053954479 | Forward Pathology Solutions LLC | Pathology | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2019-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952821308 | Patricija Zot | Pathology | 1250 E Marshall St # 980662, Richmond, VA 23298-5051 | 2017-06-26 |
| 1508248949 | Rajeswari Jayakumar | Pathology | 403 N. 13th Street, Csc, Richmond, VA 23298 | 2015-06-22 |
| 1891192209 | Pepper Path LLC | Pathology | 45945 Trefoil Ln, Unit 175, Sterling, VA 20166-4343 | 2014-12-01 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1629481700 | David Phillip Lebel II | Pathology | 1 Riverside Cir Ste 105, Roanoke, VA 24016-4961 | 2014-06-06 |
| 1710304761 | Sara Ali Mustafa | Pathology | 3289 Woodburn Rd Ste 220, Annandale, VA 22003-7313 | 2014-03-27 |
| 1215376959 | Angela Yu-jye Wu | Pathology | 1215 Lee Street - Box Number 800214, Charlottesville, VA 22908-0001 | 2013-06-16 |
| 1043529365 | Alden W Dudley Jr. | Pathology | 5909 Winnbrook Dr, Roanoke, VA 24018-7903 | 2010-10-04 |
| 1649582412 | Vasavi Kaliki | Pathology | 4505 Yorkminster Dr, Glen Allen, VA 23060-6157 | 2010-07-09 |
| 1063737146 | William F. Enos, M.d., Pllc | Pathology | 10300 Spotsylvania Avenue, Suite 130, Fredericksburg, VA 22408 | 2010-04-01 |
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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.