MITCHELL D REYNOLDS (NPI# 1487707741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487707741 |
| Entity Type | Individual |
| Full Name | MITCHELL D REYNOLDS |
| Credential | CRNA |
| Practice Address |
754 S Main St St George UT 84770-5504 |
| Mailing Address |
Po Box 911928 St George UT 84791-1928 |
| Practice Telephone | 4356529127 |
| Practice Fax Number | 4356747339 |
| Mailing Telephone | 4356529127 |
| Mailing Fax Number | 4356747339 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2019-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN61583 | NV | Nursing Service Providers |
| Y | 207L00000X | Anesthesiology | 199460-4406 | UT | Allopathic & Osteopathic Physicians |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 199460-4406 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | CRNA000347 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053765180 | Mitchell Reynolds | Occupational Therapist | 550 Club Ln, Conway, AR 72034-3681 | 2016-04-14 |
| 1043603764 | Mitchell Reynolds | Registered Nurse | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2015-03-05 |
| 1417361049 | Mitchell J Reynolds | Physical Therapist | 9430 Park West Blvd, Suite 230, Knoxville, TN 37923-4200 | 2014-06-11 |
| Street Address |
754 S MAIN ST |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245495860 | Mark Raynel Ence | Dentist | 754 S Main St, Ste. #1, St George, UT 84770-5504 | 2008-07-23 |
| 1720248578 | Sleepytime,llc | Nurse Anesthetist, Certified Registered | 754 S Main St, Suite 3, St George, UT 84770-5504 | 2008-06-16 |
| 1821277872 | Scott Edwin Bulloch | Oral & Maxillofacial Surgery | 754 S Main St, Suite 5, St George, UT 84770 | 2007-10-26 |
| 1871620641 | Woodrow Wilson Wagner IIi | Dentist | 754 S Main St, Suite #1, St George, UT 84770-5504 | 2007-02-27 |
| 1689716664 | The Foot & Ankle Institute LLC | Durable Medical Equipment & Medical Supplies | 754 S Main St, Suite 3, St George, UT 84770-5504 | 2007-02-13 |
| 1902829559 | James Norman Ence | Dentist | 754 S Main St, Ste. 1, St George, UT 84770-5504 | 2006-07-25 |
| 1518987320 | James N Ence Dds Ltd | Dentist | 754 S Main St, Ste. 1, St George, UT 84770-5504 | 2006-07-21 |
| 1972528537 | South Main Surgery Center Inc | Clinic/Center | 754 S Main St, Suite 3, St George, UT 84770-5505 | 2006-07-13 |
| 1457352445 | Allen Deheer Todd | Dentist | 754 S Main St, Suite 7, St George, UT 84770-5504 | 2005-08-02 |
| 1164422739 | Precision Implant & Oral Surgery PC | Oral & Maxillofacial Surgery | 754 S Main St, Suite 5, St George, UT 84770-5504 | 2005-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982920575 | Kim Daniel Christensen | Anesthesiology | 1380 S Medical Center Dr, St George, UT 84790 | 2010-04-08 |
| 1043497753 | Mitchell D Reynolds PC | Anesthesiology | 640 E 700 S Ste 10b, St George, UT 84770-4036 | 2008-01-24 |
| 1891054037 | Andrew Donald Dobson | Anesthesiology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2012-05-09 |
| 1730452814 | Amsurg St George Anesthesia, LLC | Anesthesiology | 368 E Riverside Dr, Suite B, St George, UT 84790-6896 | 2012-02-20 |
| 1548556814 | Rachel Helena Allen | Anesthesiology | 1380 E Medical Center Dr, St George, UT 84790 | 2011-06-24 |
| 1881980399 | Scott Garrett Allen | Anesthesiology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2011-06-22 |
| 1831490648 | Benjamin W Risenmay | Anesthesiology | 1380 S Medical Center Dr, St George, UT 84790 | 2010-11-10 |
| 1295054500 | Jordan J Ash | Anesthesiology | 1380 E Medical Center Drive, St George, UT 84790-2123 | 2010-05-26 |
| 1114244068 | Burton Derric Maxfield | Anesthesiology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2010-04-30 |
| 1255656005 | Daniel Cotoi | Anesthesiology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2010-04-05 |
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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.