STEPHEN REYNOLDS (NPI# 1245624683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245624683 |
| Entity Type | Individual |
| Full Name | STEPHEN REYNOLDS |
| Credential | DO |
| Practice Address |
2120 Sw 22nd Pl Ocala FL 34471-7765 |
| Practice Telephone | 3527325042 |
| Practice Fax Number | 3527326031 |
| Mailing Telephone | 3527325042 |
| Mailing Fax Number | 3527326031 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
58.006033 | OH | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
OS16444 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713831 | Stephen James Layne Reynolds | Technician | 4825 Browns Creek Rd, Saint Albans, WV 25177-8740 | 2020-09-08 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1679959019 | Stephen Reynolds | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave Rm M1184, Division of Cardiology, San Francisco, CA 94143-0124 | 2015-08-08 |
| 1679906614 | Stephen Anthony Reynolds | Psychologist | 1684 Ala Moana Blvd Apt 252, Honolulu, HI 96815 | 2013-08-13 |
| Street Address |
2120 SW 22ND PL |
| City | OCALA |
| State | FL |
| Zip Code | 34471-7765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076252 | Charles W Grayson | Otolaryngology | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2005-07-08 |
| 1710431127 | Allison Kristine Mcmichael | Audiologist | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2016-08-15 |
| 1093169864 | Medical Management of Ocala | Nurse Practitioner | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2016-04-19 |
| 1508221664 | Leigh Steinberg | Audiologist | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2015-12-16 |
| 1831404599 | Jose Luis Jiron Jr. | Otolaryngology | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2010-08-18 |
| 1063667541 | Christopher John Schmidt | Otolaryngology | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2008-11-25 |
| 1861651259 | Medical Management of Ocala Inc | Otolaryngology | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2008-06-02 |
| 1235340704 | Martha L Mackay | Registered Nurse | 2120 Sw 22nd Pl, Ocala, FL 34474-7065 | 2007-05-25 |
| 1740376250 | Jose C. Mercado | Physician Assistant | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2006-10-04 |
| 1952398976 | Christopher E. Bald | Otolaryngology | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2005-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
| 1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
| 1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
| 1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
| 1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
| 1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
| 1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
| 1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
| 1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
| 1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
| Find all providers in zip 34471 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063667541 | Christopher John Schmidt | Otolaryngology | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2008-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093228587 | Cosmetic Medicine Enterprises Inc | Otolaryngology | 34156 Us Hwy 19 N, Palm Harbor, FL 34684 | 2017-11-07 |
| 1205362183 | Clifton Bridges | Otolaryngology | 6970 Sunnyside Dr, Leesburg, FL 34748-9556 | 2017-05-11 |
| 1811305568 | Medney Tardy Jr. | Otolaryngology | 651 Jacana Cir, Naples, FL 34105-7400 | 2014-07-25 |
| 1699113605 | Lebeau Clinic Pl | Otolaryngology | 1020 N Palafox St, Pensacola, FL 32501-3118 | 2013-06-12 |
| 1164867644 | Joseph Samuel Moak IIi | Otolaryngology | 1819 Salk Ave, Tavares, FL 32778-4311 | 2013-05-09 |
| 1750661328 | Jesse Andrew Burnam | Otolaryngology | 15647 Carriedale Ln, Fort Myers, FL 33912-3904 | 2011-08-26 |
| 1619276102 | Thomas Lewis Tzikas | Otolaryngology | 526 Se 5th Ave, Delray Beach, FL 33483-5213 | 2011-03-23 |
| 1356595268 | Vijay M Sharma | Otolaryngology | 601 University Blvd Ste 201, Jupiter, FL 33458-2788 | 2008-11-05 |
| 1881846731 | Anthony Bared | Otolaryngology | 6280 Sunset Dr Ste 504, South Miami, FL 33143-4870 | 2008-10-22 |
| 1700034345 | Larry Nelson Smith | Otolaryngology | 10925 Sw 27th Ave, Gainesville, FL 32608-8937 | 2008-09-08 |
| 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.