SPENCER TIMOTHY REYNOLDS


Address: 1501 Kings Highway, Emergency Medicine/family Medicine, Shreveport, LA 71130
Phone: 3186260014

SPENCER TIMOTHY REYNOLDS (NPI# 1447756218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447756218
Entity Type Individual
Full Name SPENCER TIMOTHY REYNOLDS
Credential MD
Practice Address 1501 Kings Highway
Emergency Medicine/family Medicine
Shreveport
LA 71130
Mailing Address 199 County Road 3329
Atlanta
TX 75551-1522
Practice Telephone 3186260014
Mailing Telephone 9037333099
Enumeration Date 2018-04-02
Last Update Date 2019-07-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 320024 LA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 320024 LA Allopathic & Osteopathic Physicians

Office Location

Street Address 1501 KINGS HIGHWAY
EMERGENCY MEDICINE/FAMILY MEDICINE
City SHREVEPORT
State LA
Zip Code 71130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790720738 Louisina State University Health Sciences Center Neurological Surgery 1501 Kings Highway, Lsuhsc-s, Shreveport, LA 71103-4228 2006-06-16
1609496439 Nicolas Abraham Zaunbrecher Student in an Organized Health Care Education/Training Program 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 2020-04-22
1619597432 Ghanshyam R. Mudigonda Student in an Organized Health Care Education/Training Program 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 2020-04-22
1528688348 Audrey Netzel Student in an Organized Health Care Education/Training Program 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 2020-04-22
1629698444 Ammad Khan Student in an Organized Health Care Education/Training Program 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 2020-04-22
1265052088 James Mccarty Student in an Organized Health Care Education/Training Program 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 2020-04-22
1831719848 Patrick Connor Student in an Organized Health Care Education/Training Program 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 2020-04-20
1023638020 Izrail Abdurakhmanov Student in an Organized Health Care Education/Training Program 1501 Kings Highway, Psychiatry, Shreveport, LA 71130-3932 2020-04-20
1952921959 Tanner Hegefeld Student in an Organized Health Care Education/Training Program 1501 Kings Highway, Psychiatry, Shreveport, LA 71130-3932 2020-04-20
1881214815 Justin Harrell Student in an Organized Health Care Education/Training Program 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 2020-04-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003444316 Aya Mouhaffel Student in an Organized Health Care Education/Training Program 1501 King Hwy, Anesethesiology, Shreveport, LA 71130 2020-03-31
1689144461 John W Ratliff Student in an Organized Health Care Education/Training Program Ochsner, 1501, Shreveport, LA 71130 2018-12-05
1790284016 Alex Michael Fuselier Student in an Organized Health Care Education/Training Program Urology, 1501 Kings Highway, Shreveport, LA 71130 2018-02-02
1265096390 Thomas G. Block IIi Student in an Organized Health Care Education/Training Program Internal Medicine, 1501 Kings Highway, Shreveport, LA 71130 2019-04-24
1669036794 Udhayvir Singh Grewal Student in an Organized Health Care Education/Training Program Internal Medicine, 1501 Kings Highway, Shreveport, LA 71130 2019-04-24
1285190843 Adekola Adedeji Student in an Organized Health Care Education/Training Program Ochsner Health System, 1501 Kings Highway, Shreveport, LA 71130 2019-02-19
1386100949 Samantha N. Hirt Student in an Organized Health Care Education/Training Program Ochsner Health System, 1501 Kings Highway, Shreveport, LA 71130 2019-02-19
1053893487 Brittney Gillyard Nurse Practitioner 1541 Kings Hwy, Shreveport, LA 71130 2018-09-01
1275890436 Mark Douglas Porta Jr. Internal Medicine 1501 Kings Hwy, Lsuhsc Dept. of Gastroenterology, Shreveport, LA 71130 2012-04-12
1700072618 Kashif Jameel Khan Internal Medicine 1501 Kings Hwy, Lsuhsc Dept. of Gastroenterology, Shreveport, LA 71130 2007-09-25
Find all providers in zip 71130

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982871182 Edward Locascio Emergency Medicine 1512 W Kirby Place, Department of Emergency Medicine, Shreveport, LA 71103-3822 2008-05-15
1780722686 Joseph Salvador Bianca Emergency Medicine 715 Chinquapin Dr, Shreveport, LA 71106-7200 2007-02-02
1902950363 Richard A Aycock II Emergency Medicine 2510 Bert Kouns Indistrial Loop, Shreveport, LA 71118 2007-01-23
1962555342 Charles Leonard Black Emergency Medicine 7600 General Motors Blvd, Medical Department, Shreveport, LA 71129-9426 2007-01-19
1801820121 Mary Ann Edens Emergency Medicine 1501 King's Highway, Shreveport, LA 71103 2006-07-10
1992738629 Paul Bracey Emergency Medicine 6841 Fern Avenue, Suite 100, Shreveport, LA 71105 2006-07-08
1306875570 Edward Ronald Samper Emergency Medicine 1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71105-5714 2006-07-01
1366482309 Kenneth David Miller Emergency Medicine 11165 Heritage Oaks, Shreveport, LA 71106-8383 2006-06-07
1225084536 John Kevin Netterville Emergency Medicine One St Mary Place, Shreveport, LA 71101 2006-05-26
1245206077 Jerel L Raney Emergency Medicine 7045 Youree Dr, Shreveport, LA 71105-5108 2006-02-23
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71130

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Dataset Information

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.

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