ANTHONY L REYES (NPI# 1588877799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588877799 |
| Entity Type | Individual |
| Full Name | ANTHONY L REYES |
| Credential | MD |
| Practice Address |
300 Oak St Ste B Kelso WA 98626-2304 |
| Mailing Address |
1057 12th Ave Longview WA 98632-2509 |
| Practice Telephone | 3603535511 |
| Practice Fax Number | 3603535502 |
| Mailing Telephone | 3606363892 |
| Mailing Fax Number | 3604141342 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2014-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60329830 | WA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4301089186 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1588877799 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851792089 | Anthony Gregory Reyes | Specialist/Technologist | 17400 Nw 68th Ave #317, Hialeah, FL 33015-4075 | 2014-09-08 |
| 1508481458 | Anthony P Reyes | Case Manager/Care Coordinator | 8205 Spain Rd Ne Ste 106, Albuquerque, NM 87109-3155 | 2020-06-16 |
| 1073141222 | Anthony Reyes | Student in an Organized Health Care Education/Training Program | 1400 E Church St, Santa Maria, CA 93454-5906 | 2020-03-31 |
| 1154860914 | Anthony Kain Reyes | Behavior Technician | 5436 232nd Ave Se, Issaquah, WA 98029-6220 | 2017-02-13 |
| 1316286321 | Anthony J Reyes | Pharmacist | 127 E Ogden Ave, Naperville, IL 60563-3154 | 2013-02-11 |
| 1770861155 | Anthony Reyes | Marriage & Family Therapist | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2011-08-02 |
| 1447498480 | Anthony Acuna Reyes II | Physical Therapist | 239 W Pennsylvania Ave, Southern Pines, NC 28387-5430 | 2009-01-29 |
| 1447332911 | Anthony Reyes Jr. | Family Medicine | 12675 La Mirada Blvd, Suite 201, La Mirada, CA 90638-2200 | 2006-10-20 |
| Street Address |
300 OAK ST STE B |
| City | KELSO |
| State | WA |
| Zip Code | 98626-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972518330 | Vickie Moore-alvarez | Nurse Practitioner | 300 Oak St Ste B, Kelso, WA 98626-2304 | 2006-07-31 |
| 1992280796 | Winnet Katiyo | Nurse Practitioner | 300 Oak St Ste B, Kelso, WA 98626-2304 | 2018-09-27 |
| 1366790008 | Cowlitz Family Health Center | Clinic/Center | 300 Oak St Ste B, Kelso, WA 98626-2304 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730581877 | Wrothell Funchess | Counselor | 1645 Bowmont Ave, Kelso, WA 98626 | 2014-09-19 |
| 1427457688 | Julie Dalen | Counselor | 309 Oak Street, Kelso, WA 98626 | 2014-08-13 |
| 1033468822 | Rene Kerry Bohannon-oxford | Counselor | 2707 Pacific Ave North, Kelso, WA 98626 | 2012-09-07 |
| 1447535737 | Nichole Kathleen Allee | Massage Therapist | 109 Nw 1st St., Kelso, WA 98626 | 2011-10-18 |
| 1689991655 | Zachariah Kramer | Radiology | 700 Lincoln Street Suite 100, Longview Radiologists, Kelso, WA 98626 | 2010-04-29 |
| 1508007071 | Robert Lee Blair | Registered Nurse | 119 Blackburn Lane, Kalama, WA 98626 | 2009-03-13 |
| 1942318829 | Imholte & Anderson Pllc | Dentist | 409 West Main Street, Kelso, WA 98626 | 2006-08-29 |
| 1922088723 | James Bevan Hollingsworth | Pharmacist | 204 S Pacific Ave, Kelso, WA 98626 | 2006-01-18 |
| 1972021087 | Adreia Jenice Jessop | Registered Nurse | 300 Oak St, Kelso, WA 98626 | 2017-09-08 |
| 1023567310 | Charlene Han | Pharmacist | 205 Three Rivers Dr, Kelso, WA 98626 | 2016-09-27 |
| Find all providers in zip 98626 | ||||
| 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. |
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|---|---|---|---|---|
| 1063010957 | Olympic Medical Pllc | Family Medicine | 6342 Littlerock Rd Sw Bldg 3, Tumwater, WA 98512-7332 | 2020-10-13 |
| 1124631296 | Direct Care Clinics Us PC | Family Medicine | 2307 Se 3rd Circle, Suite 203, Vancouver, WA 98661-9860 | 2020-08-28 |
| 1851902605 | Northwest Clinical Services | Family Medicine | 825 Se Bishop Blvd Ste 301c, Pullman, WA 99163-5517 | 2020-08-14 |
| 1003424128 | Kelly P Grenner | Family Medicine | 15424 Ne 160th St, Woodinville, WA 98072-8180 | 2020-07-14 |
| 1851919476 | Thuthi Enterprises, LLC | Family Medicine | 715 N Park Ctr # A, Selah, WA 98942-1174 | 2020-07-09 |
| 1851917074 | Kaiser Foundation Health Plan of Washington | Family Medicine | 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335-0037 | 2020-06-23 |
| 1245856830 | Jackie C Toh | Family Medicine | 13684 18th Ave Sw, Burien, WA 98166-1047 | 2020-06-19 |
| 1669097127 | Dawnmd LLC | Family Medicine | 540 E Main St Ste A, Pullman, WA 99163-2660 | 2020-06-10 |
| 1427672310 | Andrea Lauren Cistulli | Family Medicine | 3619 Talbot Rd S Ste 401, Renton, WA 98055-5708 | 2020-06-05 |
| 1114540457 | Country Doctor Community Clinic | Family Medicine | 2410 E Cherry St, Seattle, WA 98122-4832 | 2020-05-21 |
| 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.