DR. KELLEY M REYNOLDS (NPI# 1528045846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528045846 |
| Entity Type | Individual |
| Full Name | DR. KELLEY M REYNOLDS |
| Credential | MD |
| Practice Address |
500 South Johnson Drive Mcgregor TX 76657 |
| Mailing Address |
1600 Providence Dr Waco TX 76707-2261 |
| Practice Telephone | 2543135200 |
| Practice Fax Number | 2543134531 |
| Mailing Telephone | 2543134200 |
| Mailing Fax Number | 2543134326 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2013-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K0547 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 102807803 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528477791 | Kelley Reynolds | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2014-08-12 |
| Street Address |
500 SOUTH JOHNSON DRIVE |
| City | MCGREGOR |
| State | TX |
| Zip Code | 76657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568487791 | Jessica Kristin Cook | Family Medicine | 500 South Johnson Drive, Mcgregor, TX 76657 | 2006-07-12 |
| 1710946561 | Keith A. Boles | Family Medicine | 500 South Johnson Drive, Mcgregor, TX 76657 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215302948 | John M. Shultz D.d.s. | Dentist | 1024 S Main, Mcgregor, TX 76657 | 2015-12-07 |
| 1215414636 | Kreis Medical Services LLC | Clinic/Center | 106 Star Ridge Cir, Mc Gregor, TX 76657 | 2018-07-27 |
| 1235219114 | Mcgregor Volunteer Emergency Medical Services | Ambulance | 404 S. Main St., Mcgregor, TX 76657-0237 | 2006-10-16 |
| 1417055252 | Carol Joyce England | Speech-Language Pathologist | 1102 Navajo Trl, Mc Gregor, TX 76657-1030 | 2006-09-20 |
| 1548810690 | Sarah Smith | Specialist/Technologist | 807 Navajo Trl, Mc Gregor, TX 76657-1070 | 2019-09-19 |
| 1306945621 | Brookshire Brothers Inc | Pharmacy | 1250 W Mcgregor Dr, Mc Gregor, TX 76657-1169 | 2006-09-22 |
| 1366908295 | Cyril D Bulawin | Physical Therapist | 414 Johnson Dr, Mc Gregor, TX 76657-1426 | 2019-02-15 |
| 1891118501 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 414 Johnson Dr, Mc Gregor, TX 76657-1426 | 2014-01-31 |
| 1871890970 | Mcgregor Senior Care LLC | Skilled Nursing Facility | 414 Johnson Dr, Mc Gregor, TX 76657-1426 | 2011-02-25 |
| 1306166830 | Heart of Texas Community Health Center, Inc | Family Medicine | 500 Johnson Dr, Mc Gregor, TX 76657-1441 | 2010-06-07 |
| Find all providers in zip 76657 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568487791 | Jessica Kristin Cook | Family Medicine | 500 South Johnson Drive, Mcgregor, TX 76657 | 2006-07-12 |
| 1710946561 | Keith A. Boles | Family Medicine | 500 South Johnson Drive, Mcgregor, TX 76657 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1124629522 | Jose Reynaldo Carcamo Jr. | Family Medicine | 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 | 2020-11-03 |
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.