TERRY REYNOLDS (NPI# 1295724920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295724920 |
| Entity Type | Individual |
| Full Name | TERRY REYNOLDS |
| Credential | PA-C |
| Practice Address |
3000 Coral Hills Dr Phoenix Emergency Medicine of Broward, LLC Coral Springs FL 33065-4108 |
| Mailing Address |
5028 Nw 123rd Ave Coral Springs FL 33076-3442 |
| Practice Telephone | 9543443000 |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2013-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0010-03520 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA3597 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 291118300 | 05 | |
| FL | MEDICARE CORE | E3618 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912997859 | Terry L Reynolds | Radiology | 2415 Parkwood Drive, Brunswick, GA 31520-4722 | 2005-10-23 |
| 1427058262 | Terry Reynolds | Optometrist | 1313 13th Ave Se, Decatur, AL 35601-4308 | 2005-07-22 |
| Street Address |
3000 CORAL HILLS DR PHOENIX EMERGENCY MEDICINE OF BROWARD, LLC |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33065-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437145992 | David Bohorquez | Emergency Medicine | 3000 Coral Hills Dr, Coral Springs Ed, Coral Springs, FL 33065-4108 | 2005-09-21 |
| 1316565427 | Erika Mcateer | Nurse Anesthetist, Certified Registered | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2020-07-07 |
| 1245861715 | Ekg Readers of Coral Springs Inc | Internal Medicine | 3000 Coral Hills Dr, Dept: Ekg Readers Panel, Coral Springs, FL 33065-4108 | 2020-02-03 |
| 1043871023 | Ashley N Bunnell | Nurse Anesthetist, Certified Registered | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2019-06-21 |
| 1548726631 | Judith Gallo | Nurse Practitioner | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2019-02-14 |
| 1013499862 | Mirela Danaj | Nurse Practitioner | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2018-08-29 |
| 1619418977 | Michael Alexander Labi | Physician Assistant | 3000 Coral Hills Dr, Coral Springs, FL 33065 | 2017-03-19 |
| 1578013496 | Tracey Lynn Cabrera | Nurse Practitioner | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2016-10-04 |
| 1134673767 | Coral Springs Physician Services, LLC | Physician Assistant | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2016-08-11 |
| 1205220324 | Martin Peter Sayers | Emergency Medicine | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2015-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899418 | United Adult Care Services, LLC | Home Health | 11448 West Sample Rd, Coral Springs, FL 33065 | 2020-07-28 |
| 1245872068 | Grace Diana Perez | Developmental Therapist | 3325 N University Drive, Coral Springs, FL 33065 | 2019-10-14 |
| 1497397210 | Anjulia Maureen Nicholson | Speech-Language Pathologist | 3100 Coral Hills Dr Suite 200, Coral Springs, FL 33065 | 2019-10-14 |
| 1467911131 | Sawgrass Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 12415 Nw 35 Street, Coral Springs, FL 33065 | 2019-03-13 |
| 1992274252 | Kayon Shepherd | Dermatology | 7837 West Sample Rd, #127, Coral Springs, FL 33065 | 2018-11-15 |
| 1073009148 | Empire Detox, LLC | Clinic/Center | 3000 Nw 101st Ln Ste 101-a, Coral Springs, FL 33065 | 2018-07-02 |
| 1487148706 | Perfect Balance Healthcare, Pllc | Pharmacist | 7500 Live Oak Dr., Coral Springs, FL 33065 | 2018-06-20 |
| 1477051498 | Neuro Wellness Centers of America, LLC | Clinic/Center | 9734 W Sample Rd, Coral Springs, FL 33065 | 2018-01-24 |
| 1821502550 | Happy Adult Day Care Rehab, LLC | Clinic/Center | 7463 W Sample Rd, Coral Springs, FL 33065 | 2017-11-16 |
| 1821500059 | I'd Rather Be Home Homecare Services LLC | Registered Nurse | 7501 Nw 42nd Drive, Coral Springs, FL 33065 | 2017-10-27 |
| Find all providers in zip 33065 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730177 | Emily Figueroa Vega | Physician Assistant | 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 | 2020-11-06 |
| 1578108999 | Kevin Michael Sprague | Physician Assistant | 5535 Pine Cir, Coral Springs, FL 33067-2930 | 2019-11-08 |
| 1497390819 | Alexa Walsh | Physician Assistant | 10022 Nw 20th St, Coral Springs, FL 33071-5845 | 2019-11-08 |
| 1386289700 | Ian Kramer | Physician Assistant | 4013 Nw 72nd Ave, Coral Springs, FL 33065-2132 | 2019-11-08 |
| 1871135541 | Megan Rodwell | Physician Assistant | 3001 Coral Hills Dr Ste 320, Coral Springs, FL 33065-4172 | 2019-10-14 |
| 1942768932 | Ashley Maccarello | Physician Assistant | 10308 W Sample Rd Ste A, Coral Springs, FL 33065-3942 | 2019-03-08 |
| 1568937738 | Jessica Suarez | Physician Assistant | 3415 Nw 112th Way, Coral Springs, FL 33065-7095 | 2018-10-03 |
| 1245739119 | Latoyia Dashawn Fuller | Physician Assistant | 1770 Eagle Trace Blvd, Coral Springs, FL 33071-7817 | 2018-02-06 |
| 1245699479 | Patrick Dargan | Physician Assistant | 6179 Nw 40th St, Coral Springs, FL 33067-3224 | 2016-02-16 |
| 1548651839 | Lauren Walk | Physician Assistant | 2863 Nw 123rd Ave, Coral Springs, FL 33065-3253 | 2015-02-09 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33065 |
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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.