MR. SEAN REYNOLDS (NPI# 1427540780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427540780 |
| Entity Type | Individual |
| Full Name | MR. SEAN REYNOLDS |
| Credential | PA-C |
| Practice Address |
216 Moore Rd King NC 27021 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3369834346 |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952803306 | Sean William Reynolds II | Specialist/Technologist | 237 Grove St, Waltham, MA 02453-6548 | 2018-03-01 |
| 1790140473 | Sean Reynolds | Physical Therapist | 819 Tarento Dr, San Diego, CA 92106-2825 | 2015-12-22 |
| 1528379484 | Sean Michael Reynolds | Specialist/Technologist | 1834 Adler Rd, Bensalem, PA 19020-3041 | 2010-06-25 |
| 1295099570 | Sean Reynolds | Dermatology | 1701 Divisadero St, San Francisco, CA 94115 | 2012-07-01 |
| 1679882591 | Sean N Reynolds | Internal Medicine | 530 S Jackson St, Louisville, KY 40202-1675 | 2010-09-27 |
| 1780811935 | Sean Reynolds | Counselor | 211 13th St, San Francisco, CA 94103-2461 | 2009-06-15 |
| Street Address |
216 MOORE RD |
| City | KING |
| State | NC |
| Zip Code | 27021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700865797 | Khaishoon N. Basrai | Internal Medicine | 216 Moore Rd, King, NC 27021-8703 | 2006-01-10 |
| 1508417114 | Jonathan Walton Walker | Nurse Practitioner | 216 Moore Rd, King, NC 27021-8703 | 2019-09-25 |
| 1417412180 | Ashton Mitchell Walker | Physician Assistant | 216 Moore Rd, King, NC 27021-8703 | 2019-02-06 |
| 1235612813 | Emily Marion Fischer | Nurse Practitioner | 216 Moore Rd, King, NC 27021-8703 | 2018-09-10 |
| 1255789673 | Sarah Voss Berwanger | Registered Nurse | 216 Moore Rd, King, NC 27021-8703 | 2016-05-26 |
| 1437521861 | Brittney Thompson | Nurse Practitioner | 216 Moore Rd, King, NC 27021-8703 | 2015-10-26 |
| 1669818076 | Holly Antony Borders | Family Medicine | 216 Moore Rd, King, NC 27021-8703 | 2013-05-14 |
| 1518208958 | Vanessa Lynn Kearney | Physician Assistant | 216 Moore Rd, King, NC 27021-8703 | 2013-03-11 |
| 1689924391 | Julie Tuttle Tackett | Nurse Practitioner | 216 Moore Rd, King, NC 27021-8703 | 2012-09-11 |
| 1124389796 | Amber M. Hairford | Family Medicine | 216 Moore Rd, King, NC 27021-8703 | 2012-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1447898754 | Magnolia Eye Care, O.d. Pllc | Optometrist | 141 Spruce Pine Way, Suite C, King, NC 27021 | 2019-12-17 |
| 1700268000 | Andrew Kiger | Physical Therapist | 710 Kirby Rd, King, NC 27021 | 2015-06-23 |
| 1053745471 | Priddy Manor Assisted Living | Custodial Care Facility | 1294 Priddy Road, King, NC 27021 | 2013-08-22 |
| 1790068369 | Mohamed Hamdy Darwish | Pharmacist | 600 S Main St., King, NC 27021 | 2011-09-21 |
| 1093000192 | Megan Kistler | Pharmacist | 600 S. Main Street, King, NC 27021 | 2011-06-16 |
| 1316237563 | A.t. Bassiri, D.d.s., P.a. | Dentist | 226 Kirby Road, King, NC 27021 | 2011-04-08 |
| 1033417258 | Teresa Bryant Jennings | Pharmacist | 650 S. Main Street, King, NC 27021 | 2011-03-11 |
| 1669681854 | King Medical Associates | Family Medicine | 202 Scenic Drive, King, NC 27021 | 2007-05-22 |
| 1447319595 | North Carolina Cvs Pharmacy LLC | Pharmacy | 600 South Main St, King, NC 27021 | 2006-12-06 |
| Find all providers in zip 27021 | ||||
| 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 |
|---|---|---|---|---|
| 1750357075 | Kerry F Fox | Physician Assistant | 202 Scenic Dr, King, NC 27021-9418 | 2006-02-27 |
| 1417412180 | Ashton Mitchell Walker | Physician Assistant | 216 Moore Rd, King, NC 27021-8703 | 2019-02-06 |
| 1447782289 | Jennifer Ann Law Martin | Physician Assistant | 167 Moore Rd Ste 201, King, NC 27021 | 2017-03-30 |
| 1518208958 | Vanessa Lynn Kearney | Physician Assistant | 216 Moore Rd, King, NC 27021-8703 | 2013-03-11 |
| 1922278522 | Forsyth Medical Group, LLC. | Physician Assistant | 216 Moore Rd, Dba Winston-salem Cardiology Associates, King, NC 27021-8703 | 2008-03-11 |
| 1760699748 | Ginger Williams Sims | Physician Assistant | 216 Moore Rd, King, NC 27021-8703 | 2007-05-17 |
| 1790859551 | Gregory R Dunkelberger | Physician Assistant | 216 Moore Rd, King, NC 27021-8703 | 2006-11-20 |
| 1366472565 | Michele J Hutchens | Physician Assistant | 216 Moore Rd, King, NC 27021-8703 | 2006-07-03 |
| 1285682310 | Forsyth Medical Group LLC | Physician Assistant | 216 Moore Rd, King, NC 27021-8703 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
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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.