MR. ROBERTO CARLOS REYNAGA (NPI# 1356699920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356699920 |
| Entity Type | Individual |
| Full Name | MR. ROBERTO CARLOS REYNAGA |
| Practice Address |
500 Cherry St Bluefield WV 24701-3306 |
| Practice Telephone | 3043271666 |
| Mailing Telephone | 3043271666 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102205474 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 39020 | Student, Health Care |
| Street Address |
500 CHERRY ST |
| City | BLUEFIELD |
| State | WV |
| Zip Code | 24701-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022462 | Stephen Patrick Poolos | Pathology | 500 Cherry St, Bluefield, WV 24701-3306 | 2005-06-01 |
| 1942826250 | Angela Louise Collins | Nurse Practitioner | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-06-23 |
| 1417577081 | Miranda Cox | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-04-23 |
| 1346869575 | Maryam Bayat Mokhtari | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-04-08 |
| 1891350179 | Bluefield Hospital Company LLC | Medicare Defined Swing Bed Unit | 500 Cherry St, Bluefield, WV 24701-3306 | 2019-05-02 |
| 1013473438 | Bridget Chinelo Nduka | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2019-02-11 |
| 1750850319 | Integrated Wv LLC | Hospitalist | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-11-13 |
| 1134698798 | Icp West Virginia LLC | Emergency Medicine | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-11-13 |
| 1801361399 | Jessica A Compton | Nurse Practitioner | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-10-10 |
| 1518451962 | Shariful Alam | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285083105 | Amber Mcclung | Pharmacist | South View Mall Us Route 52, Bluewell, WV 24701 | 2016-06-10 |
| 1083003909 | Kerri Francis | Specialist/Technologist | 219 Rock Street, Bluefield, WV 24701 | 2015-01-15 |
| 1740524222 | Stephanie Michelle Neely | Specialist | Rt 2 Old Princeton Road, Bluefield, WV 24701 | 2012-11-21 |
| 1649525676 | Charles Lohr | Pharmacist | 2924 E Cumberland Rd, Bluefield, WV 24701 | 2012-07-16 |
| 1508144239 | Chastity Leigh Walker | Nurse Practitioner | 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 | 2011-07-29 |
| 1861795338 | Tracy Lynn Mathena | Pharmacist | Us Rt 52 N, Bluewell, WV 24701 | 2010-12-06 |
| 1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
| 1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
| 1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
| 1952596603 | Bluefield Int & Cardio | Internal Medicine | 1331 Southview Drive, Suite 5, Bluefield, WV 24701 | 2007-09-06 |
| Find all providers in zip 24701 | ||||
| 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 |
|---|---|---|---|---|
| 1447608096 | Weston Childers | Family Medicine | 510 Cherry St Bldg A, Suite 308, Bluefield, WV 24701-3338 | 2016-05-24 |
| 1891093944 | Hiep Van Le | Family Medicine | 12 Westwood Medical Park, Bluefield, VA 24605-2000 | 2011-03-14 |
| 1881850592 | Ronald Wayne Billips | Family Medicine | 3016e Cumberland Rd, Bluefield, WV 24701-4858 | 2008-08-01 |
| 1851559454 | Nick Rohit Patel | Family Medicine | 4003 College Ave, Suite B, Bluefield, VA 24605-2043 | 2008-05-30 |
| 1467673491 | Bluefield Health Care | Family Medicine | 1421 Stadium Dr, Bluefield, WV 24701-3319 | 2007-05-01 |
| 1174612824 | James Curtis Lesnett | Family Medicine | Unit 12, Westwood Medical Park, Bluefield, VA 24605 | 2006-10-12 |
| 1568483907 | Wayne J Myles | Family Medicine | 510 Cherry St Ste 308, Bluefield, WV 24701-3334 | 2006-07-21 |
| 1952329203 | Thomas E. Brinegar | Family Medicine | 112 Spruce St, Box 1006, Bluefield, VA 24605-1738 | 2006-07-17 |
| 1942233184 | Anthony Daniel Rasi | Family Medicine | 231 Medical Park Drive, Suite 300, Bluefield, VA 24605-2002 | 2006-07-09 |
| 1073557047 | Jonathan David Yates | Family Medicine | 2111 College Ave, Bluefield, VA 24605-2002 | 2006-06-16 |
| Find all providers in BLUEFIELD | ||||
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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.