ERIC WILLIAM REYNOLDS (NPI# 1457370934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457370934 |
Entity Type | Individual |
Full Name | ERIC WILLIAM REYNOLDS |
Credential | MD |
Practice Address |
5706 Bradbe Forest Ln Fisherville KY 40023-7715 |
Practice Telephone | 8597977588 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2016-02-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
01074675A | IN | Allopathic & Osteopathic Physicians |
N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
37279 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200809830 | 05 | |
KY | 64066152 | 05 | |
IN | ANTHEM PROVIDER NUMBER | 000000983898 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710311279 | Eric Reynolds | Nurse Practitioner | 1680 W Highway 40 Ste 201, Vernal, UT 84078-4135 | 2013-09-02 |
1730701624 | Eric Lee Reynolds | Student in an Organized Health Care Education/Training Program | 900 E Main St, Norman, OK 73071-5305 | 2020-05-13 |
1992124341 | Eric Reynolds | Family Medicine | 330 Laurel St Ste 2100, Des Moines, IA 50314-3068 | 2014-04-14 |
1659565240 | Eric Keith Reynolds | Podiatrist | 115 Christopher Columbus Dr, 404, Jersey City, NJ 07302-5526 | 2007-08-28 |
Street Address |
5706 BRADBE FOREST LN |
City | FISHERVILLE |
State | KY |
Zip Code | 40023-7715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568807360 | Elk Creek Animal Hospital | Special Hospital | 57 Commerce Dr, Fisherville, KY 40023-6412 | 2013-05-07 |
1912217498 | Sarah S Hatter | Registered Nurse | 164 Jesse Ct, Fisherville, KY 40023-6416 | 2010-10-18 |
1790988566 | Aaron Montgomery | Counselor | 124 Brianna Ct, Fisherville, KY 40023-6436 | 2007-06-07 |
1285757278 | Jocelyn A Phipps | Dentist | 6287 Taylorsville Rd Bldg 2 Ste A, Elk Creek Office Park, Fisherville, KY 40023-6443 | 2007-04-06 |
1912044827 | Bluegrass Medical Service, LLC | Durable Medical Equipment & Medical Supplies | 6287 Taylorsville Rd Bldg 2, Fisherville, KY 40023-6443 | 2007-01-31 |
1710060074 | Maria J Hutchens | Case Manager/Care Coordinator | 176 Janes Way, Fisherville, KY 40023-7547 | 2006-10-23 |
1578953881 | Truc Ly Taylor | Counselor | 106 Arlington Meadows Dr, Fisherville, KY 40023-7719 | 2015-01-26 |
1316421241 | Julie Ann Korn | Occupational Therapist | 17902 Aaron Creek Way, Fisherville, KY 40023-7774 | 2018-09-17 |
1285190009 | Natalie Renfrow | Physical Therapist | 35 Stoneview Ct, Fisherville, KY 40023-8442 | 2019-02-17 |
1609818707 | Idalyn Brown | Clinical Neuropsychologist | 537 Creek Valley Rd, Fisherville, KY 40023-8499 | 2006-06-12 |
Find all providers in zip 40023 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265996961 | Rebecca Decker | Pediatrics | 571 S Floyd St Ste 342, Louisville, KY 40202-3816 | 2019-01-27 |
1265676142 | Hannah Fischer | Pediatrics | 571 South Floyd Strret, Ste 342, Louisville, KY 40202 | 2009-04-23 |
1235338849 | Elie Giryes Abu Jawdeh | Pediatrics | University of Kentucky 800 Rose St, Mn150, Lexington, KY 40536-0001 | 2007-07-13 |
1013125202 | Mina Hazem Halim Hanna | Pediatrics | 800 Rose St # Ms 471, Lexington, KY 40536-0298 | 2007-05-19 |
1730219395 | Saify Abbasi | Pediatrics | 3170 Running Deer Cir, Louisville, KY 40241-6566 | 2007-03-06 |
1972693851 | Neonatal Associates | Pediatrics | 601 S Floyd, Ste 804, Louisville, KY 40202 | 2006-10-13 |
1518908243 | Iyad A Aljabi | Pediatrics | 505 Klutey Park Plaza Dr, Henderson, KY 42420-5224 | 2006-06-10 |
1144298316 | Ketan C Mehta | Pediatrics | 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 | 2006-03-14 |
1427040443 | Scott D Duncan | Pediatrics | 411 E Chestnut St # 2, Louisville, KY 40202-1713 | 2005-08-16 |
1124020144 | Peter John Giannone Jr. | Pediatrics | 800 Rose Street Mn 470, Lexington, KY 40536-0001 | 2005-08-10 |
Find all providers with the same taxonomy |
City | FISHERVILLE |
Zip Code | 40023 |
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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.