RICKEY J REYNOLDS (NPI# 1316099153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316099153 |
| Entity Type | Individual |
| Full Name | RICKEY J REYNOLDS |
| Credential | MD PHD |
| Practice Address |
400 Rosalind Redfern Grover Pkwy Ste 120 Midland TX 79701-5849 |
| Mailing Address |
4214 Andrews Hwy Ste 240 Midland TX 79703-4817 |
| Practice Telephone | 4322213700 |
| Practice Fax Number | 4326850834 |
| Mailing Telephone | 4326866605 |
| Mailing Fax Number | 4326822284 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
J4474 | TX | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
47762 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 203416702 | 05 | |
| TX | TRICARE | 752616977052 | 01 |
| MN | 110523000 | 05 | |
| TX | BCBS | 8W6745 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Scott and White Dr, College Station, TX 77845 | 9792074000 | |
| 910 E Houston St Ste 330, Tyler, TX 757028368 | 9035257995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215013180 | Rickey Reynolds | Pharmacist | 4300 Mowway Road, Fort Sill, OK 73503 | 2006-10-31 |
| Street Address |
400 ROSALIND REDFERN GROVER PKWY STE 120 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-5849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437175163 | Nanette R Paredes | Physician Assistant | 400 Rosalind Redfern Grover Pkwy Ste 120, Midland, TX 79701-5849 | 2006-07-14 |
| 1801336490 | Sandra Castillo Soliz | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy Ste 120, Midland, TX 79701-5849 | 2017-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518003334 | Advanced Neuroscience Clinic, Pa | Psychiatry & Neurology | 702 Andrews Hwy, Midland, TX 79701-5658 | 2007-01-29 |
| 1619013646 | Faith D Fuentes | Psychiatry & Neurology | 4011 Orchard Dr, Suite 4012, Midland, MI 48640-6190 | 2007-01-29 |
| 1891857934 | Kamal Sadjadpour | Psychiatry & Neurology | 555 W Wackerly St, Suite 3625, Midland, MI 48640-4722 | 2006-12-14 |
| 1487679569 | Meihui Ma | Psychiatry & Neurology | 4201 Campus Ridge Drive, Midland, MI 48640 | 2006-07-12 |
| 1679568380 | John Wood Foster Jr. | Psychiatry & Neurology | 400 Rosalind Redfern Grover Pkwy, Ste 261, Midland, TX 79701-5846 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059230 | Alla Al-habib Md Pllc | Psychiatry & Neurology | 981 Sh 121, Suite 3100, Allen, TX 75013 | 2020-09-25 |
| 1427669712 | Nerve Track, Pllc | Psychiatry & Neurology | 17503 La Cantera Pkwy Ste 104-416, San Antonio, TX 78257-8207 | 2020-08-11 |
| 1013535020 | Pearland Neurology Services, Pllc | Psychiatry & Neurology | 11914 Astoria Blvd Ste 400, Houston, TX 77089-6049 | 2020-07-07 |
| 1881219384 | Pankhuri Banerjee | Psychiatry & Neurology | 301 University Blvd. -jsa 9.128, Galveston, TX 77555-0539 | 2020-06-10 |
| 1184247371 | Integris Neuro Group LLC | Psychiatry & Neurology | 2012 Justin Rd Ste 200-a, Highland Village, TX 75077-7193 | 2020-05-21 |
| 1265055685 | Schweta Parag Rane | Psychiatry & Neurology | 301 University Blvd. - Jsa9. 128, Galveston, TX 77555-0539 | 2020-05-20 |
| 1477175214 | Vijaya Lakshmi Valaparla | Psychiatry & Neurology | Utmb - Neurology - Jsa 9.128 - Rt. 0539, 301 University Blvd, Galveston, TX 77555-0539 | 2020-05-14 |
| 1548895386 | Robert William Bastien | Psychiatry & Neurology | 602 Catalina Cove Ln, La Marque, TX 77568-6577 | 2020-03-11 |
| 1740823772 | Epilepsy and Neurology Care Specialists Pllc | Psychiatry & Neurology | 2406 Stirling Ave, Edinburg, TX 78539-2706 | 2019-10-22 |
| 1235797226 | Apollo Monitoring Services, LLC | Psychiatry & Neurology | 1100 Glade Rd, Colleyville, TX 76034-4227 | 2019-06-04 |
| 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.