DR. KYLE REYNOLDS (NPI# 1417334525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417334525 |
| Entity Type | Individual |
| Full Name | DR. KYLE REYNOLDS |
| Credential | M.D. |
| Practice Address |
3800 Reservoir Rd Nw Fl 4 Washington DC 20007-2113 |
| Practice Telephone | 2024442255 |
| Mailing Telephone | 2024442255 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD048284 | DC | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D0089750 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Irving St Nw, Department of Vascular Surgery, Washington, DC 200103017 | 2028773536 | 2028773699 |
| 18109 Prince Philip Dr Ste B100, Olney, MD 208321607 | 3017748962 | 3017748963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952829384 | Kyle Michael Reynolds | Chiropractor | 2032 Lowe Street, Suite 102, Fort Colllins, CO 80525 | 2017-09-06 |
| 1750919734 | Kyle Reynolds | Physician Assistant | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2020-03-27 |
| 1417442666 | Kyle Ray Reynolds | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2018-06-28 |
| 1558788430 | Kyle Elizabeth Reynolds | Obstetrics & Gynecology | 30 N Michigan Ave Ste 300, Chicago, IL 60602 | 2014-03-28 |
| 1225300304 | Kyle Reynolds | Internal Medicine | 3421 W 9th St, Waterloo, IA 50702-5401 | 2012-02-03 |
| 1255614061 | Kyle Reynolds | Pharmacist | 1300 14th St Sw, Loveland, CO 80537-6780 | 2011-09-28 |
| 1699061473 | Kyle T Reynolds | Dentist | 777 Bannock St, Denver, CO 80204-4507 | 2011-06-21 |
| 1730318924 | Kyle W Reynolds | Dentist | 7901 Mall Rd Ste 200, Florence, KY 41042-1496 | 2009-07-08 |
| Street Address |
3800 RESERVOIR RD NW FL 4 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20007-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1992289334 | Chelsea Carolyn Stahl | Nurse Practitioner | Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 | 2018-09-21 |
| 1205322070 | Etta L Sandler | Social Worker | 3222 N Street, N.w., # 300, Washington, DC 20007 | 2018-07-05 |
| 1609361286 | Sarah Kathryn Thibeau | Speech-Language Pathologist | 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 | 2018-06-26 |
| 1366947871 | Stephen William Kwong | Student in an Organized Health Care Education/Training Program | Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 | 2018-03-27 |
| 1720599020 | Nnenna Sylverline Ewuzie | Home Health Aide | 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 | 2017-10-13 |
| 1457870958 | Chief Logan Health Supplies | Durable Medical Equipment & Medical Supplies | 3220 N St Nw #1400, Washington, DC 20007 | 2017-09-15 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| 1003211129 | Mary Oluwaseyi Akinbo | Registered Nurse | 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 | 2014-10-31 |
| Find all providers in zip 20007 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802857 | Usa Vascular Centers of District of Columbia LLC | Surgery | 600 Pennsylvania Se, Suite 101a, Washington, DC 20003-4316 | 2020-08-20 |
| 1306124938 | Salim Lala | Surgery | 2150 Pennsylvania Ave Nw Ste 6b-409, Washington, DC 20037-3201 | 2011-08-01 |
| 1609195585 | Metropolitan Vascular Access | Surgery | 106 Irving St Nw Ste 408, Washington, DC 20010-2989 | 2010-05-18 |
| 1578756722 | John Franklin Lazar | Surgery | 110 Irving St Nw Rm G-253, Washington, DC 20010 | 2007-08-21 |
| 1710359211 | Usa Vein Clinics of Disctrict of Columbia, LLC | Surgery | 6323 Georgia Ave Nw, Washington, DC 20011-1101 | 2015-10-22 |
| 1558764308 | Capitol Vascular Care Pllc | Surgery | 2311 M St Nw, Suite 501, Washington, DC 20037-1445 | 2014-10-07 |
| 1922346832 | Faris Z Hakki, M.d. | Surgery | 106 Irving St Nw, Pob 408, Washington, DC 20010-2927 | 2013-01-28 |
| 1922357243 | Abdullah Alfawaz | Surgery | 110 Irving St Nw, Washington, DC 20010 | 2012-08-31 |
| 1821222001 | Steven David Abramowitz | Surgery | 106 Irving St Nw, Physician Office Building, Suite 3150 North Tower, Washington, DC 20010-2927 | 2009-05-04 |
| 1811150832 | Misaki Kiguchi | Surgery | 106 Irving St Nw, Pob North, Suite 3150, Washington, DC 20010-2927 | 2008-07-09 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20007 |
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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.