DR. MARK DOUGLAS REYNOLDS (NPI# 1497793632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497793632 |
| Entity Type | Individual |
| Full Name | DR. MARK DOUGLAS REYNOLDS |
| Credential | M.D. |
| Practice Address |
5409 Avenue O Suite 118 Fort Madison IA 52627-9601 |
| Practice Telephone | 3193729292 |
| Practice Fax Number | 3193723025 |
| Mailing Telephone | 3193729292 |
| Mailing Fax Number | 3193723025 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2009-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 29979 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 207737800 | 05 | |
| IA | 1113118 | 05 | |
| IOWA HEALTH SOLUTIONS | 22227 | 01 | |
| JOHN DEERE HEALTHCARE | IA0102 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116943 | Mark Reynolds | Nurse Practitioner | 840 West Floyd Baker Blvd, Gaffney, SC 29340 | 2019-07-24 |
| 1598896946 | Mark William Reynolds | Dentist | 1304 Beaman Pl, Greensboro, NC 27408-8704 | 2007-03-08 |
| 1285771113 | Mark Morrison Reynolds | Dentist | 295 State St, Augusta, ME 04330-7036 | 2007-01-31 |
| 1770629040 | Mark A Reynolds | Hearing Instrument Specialist | 102 College Station Dr, Ste 9, Brevard, NC 28712-3194 | 2007-01-30 |
| 1831124577 | Mark Michael Reynolds | Emergency Medicine | 26522 Poinsettia Ct, Laguna Hills, CA 92653-7556 | 2006-07-11 |
| 1023052503 | Mark Steven Reynolds | Psychiatry & Neurology | 923 Broad St, Durham, NC 27705-4141 | 2006-06-15 |
| 1558310813 | Mark W Reynolds | Nurse Anesthetist, Certified Registered | 6506 Redstone Ct, Arlington, TX 76001-8108 | 2006-05-06 |
| 1326036484 | Mark Paul Reynolds | Optometrist | 2195 E Custer Ave, Helena, MT 59602-1217 | 2005-10-12 |
| 1104287978 | Mark Reynolds | Registered Nurse | 205 E Crosier St, Akron, OH 44311-2351 | 2016-03-08 |
| 1013388073 | Mark Richard Reynolds | Physical Therapist | 201 N Mountain Rd, Suite 301, Plainville, CT 06062-1848 | 2015-10-15 |
| Street Address |
5409 AVENUE O SUITE 118 |
| City | FORT MADISON |
| State | IA |
| Zip Code | 52627-9601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814179 | Michael D David | Family Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2005-07-12 |
| 1205315116 | Michelle Lynn Hornung | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2018-08-10 |
| 1457877177 | Carrie Skibba | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-08-15 |
| 1659896587 | Nicole Frances Wilcox | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-08-11 |
| 1902327604 | Bobbi Jo Marshall | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-07-03 |
| 1629506829 | Mariah Skelley | Registered Nurse | 5409 Avenue O, Fort Madison, IA 52627 | 2017-06-01 |
| 1679008635 | Kyle Gibson | Physician Assistant | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-04-27 |
| 1821531203 | Rural Surgical Relief, PC | Surgery | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2016-12-02 |
| 1700331311 | Gwendolyn Scott | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2016-08-24 |
| 1518349539 | Ruth Barosy | Family Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538421839 | Midwest Respiratory Care Inc. | Durable Medical Equipment & Medical Supplies | 2310 Ave L, Fort Madison, IA 52627 | 2012-06-12 |
| 1013169929 | Sunnybrook of Ft. Madison | Assisted Living Facility | 5052 River Valley Road, Ft. Madison, IA 52627 | 2008-10-22 |
| 1013164532 | Navaro Noah Spartaco | Pathology | 5444 Ave O, Fort Madison, IA 52627 | 2008-08-27 |
| 1679794432 | Paul Scot Kunch | Dentist | 1605 Avenue A, Fort Madison, IA 52627 | 2007-05-01 |
| 1245364033 | David R Courtney | Dentist | 525 Avenue G, Fort Madison, IA 52627 | 2007-03-15 |
| 1578664249 | Rashid Pharmacy Plc | Durable Medical Equipment & Medical Supplies | 2404 Ave L, Fort Madison, IA 52627 | 2006-09-26 |
| 1033174628 | Leah Steffensmeier | Obstetrics & Gynecology | Fort Madison Physicians and Surgeons, 5409 Avenue O, Fort Madison, IA 52627 | 2006-04-18 |
| 1396705190 | Larry George Rounds | Chiropractor | 1605 Ave E, Fort Madison, IA 52627 | 2006-03-24 |
| 1063490407 | Air Evac Ems Inc | Ambulance | 5433 Avenue O, Fort Madison, IA 52627 | 2006-01-05 |
| 1992281984 | L.d Peck,pc | Optometrist | 716 Avenue G, Fort Madison, IA 52627 | 2018-07-13 |
| Find all providers in zip 52627 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982651311 | Jonathan I Cutler | Ophthalmology | 5409 Avenue O, Suite 118, Fort Madison, IA 52627-9601 | 2006-05-30 |
| 1831143510 | River Cities Ophthalmology, P.C. | Ophthalmology | 5409 Avenue O, Suite 118, Fort Madison, IA 52627-9601 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245658673 | Jordan Gross | Ophthalmology | 1223 S Gear Ave Ste 309, West Burlington, IA 52655-1694 | 2014-04-02 |
| 1083976880 | Reid Phillip Turner | Ophthalmology | Wolfe Eye Clinic, 6200 Westown Parkway, Des Moines, IA 50266 | 2012-06-08 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1992003677 | Virdi Eye Clinic of Iowa | Ophthalmology | 1015 13th Ave N, Clinton, IA 52732-3479 | 2011-03-04 |
| 1366604787 | Priya Gupta | Ophthalmology | 704 Westside Dr, Iowa City, IA 52246-4369 | 2008-06-26 |
| 1215124706 | Alex Kartvelishvili | Ophthalmology | 2225 Mormon Trek Blvd Ste 100, Iowa City, IA 52246-4407 | 2007-09-27 |
| 1306064324 | Brandt Michael Riley | Ophthalmology | Hwy 122, Mason City, IA 50402-1877 | 2007-04-23 |
| 1730280421 | Peter Rhee | Ophthalmology | 999 Home Plaza, Suite 101 Wolfe Eye Clinic, Waterloo, IA 50701 | 2006-09-26 |
| 1932200052 | Eye Associates Siouxland, P.l.c. | Ophthalmology | 2800 Pierce St Ste 404, Sioux City, IA 51104-3759 | 2006-09-25 |
| 1053416172 | Herbert Stanley Thompson | Ophthalmology | 2096 Kestrel Rdg Sw, Oxford, IA 52322-9111 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT MADISON |
| Zip Code | 52627 |
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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.