COLLEEN REYNOLDS (NPI# 1750450037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750450037 |
| Entity Type | Individual |
| Full Name | COLLEEN REYNOLDS |
| Credential | PA-C |
| Practice Address |
26 N Main St Shickshinny Health Center Shickshinny PA 18655-1302 |
| Mailing Address |
1084 Route 315 Wilkes-barre PA 18702-7012 |
| Practice Telephone | 5705424141 |
| Practice Fax Number | 5705422580 |
| Mailing Telephone | 5708258741 |
| Mailing Fax Number | 5708258990 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA002172L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673645 | Colleen Dee Reynolds | Counselor | 607 Division Street, Nome, AK 99762 | 2019-08-02 |
| 1346482247 | Colleen K Reynolds | Physical Therapist | 2150 Bleecker St, Utica, NY 13501-1738 | 2009-03-24 |
| 1023167723 | Colleen Reynolds | Counselor | 75 Fountain St, Framingham, MA 01702-6210 | 2007-01-10 |
| Street Address |
26 N MAIN ST SHICKSHINNY HEALTH CENTER |
| City | SHICKSHINNY |
| State | PA |
| Zip Code | 18655-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790887057 | Rural Health Corporation of Northeastern Pennsylvania | Family Medicine | 26 N Main St, Shickshinny, PA 18655-1302 | 2006-09-05 |
| 1114185956 | Megan M O'donovan | Physician Assistant | 26 N Main St, Shickshinny, PA 18655-1302 | 2008-05-29 |
| 1063679108 | Jurgen Straub | Family Medicine | 26 N Main St, Shickshinny, PA 18655-1302 | 2008-05-16 |
| 1457441164 | Gary M Smith | Family Medicine | 26 N Main St, Shickshinny Health Center, Shickshinny, PA 18655-1302 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376584383 | Leanne C Smith | Chiropractor | 184 Waterton Road, Shickshinny, PA 18655 | 2006-06-09 |
| 1780177667 | Shona M Ferrey | Physical Therapist | 25 Fellows St, Shickshinny, PA 18655-1108 | 2018-06-14 |
| 1770528788 | Shickshinny Area Volunteer Ambulance Assoc Inc | Ambulance | 32 E Union St, Shickshinny, PA 18655-1211 | 2006-06-17 |
| 1386718351 | Colpharm, Inc. | Pharmacy | 5 Mountain Mall, Suite 2, Shickshinny, PA 18655-1227 | 2006-11-20 |
| 1093819823 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 1 N Main St, Shickshinny, PA 18655-1301 | 2006-09-12 |
| 1053718601 | Ambria Andrasi | Student in an Organized Health Care Education/Training Program | 109 Hetcheltooth Rd, Shickshinny, PA 18655-2619 | 2014-11-25 |
| 1285730663 | Cheryl Bunk | Physician Assistant | 237 Shickshinny Lake Rd, Shickshinny, PA 18655-3045 | 2006-09-15 |
| 1134450604 | Kathy Jo Paynter | Registered Nurse | 1242 Hunlock Harveyville Rd, Shickshinny, PA 18655-3234 | 2010-01-24 |
| 1770971772 | Clearbrook Treatment Centers, LLC | Substance Abuse Rehabilitation Facility | 890 Bethel Hill Rd, Shickshinny, PA 18655-3706 | 2014-12-30 |
| 1831659556 | Renee M Fedorchak | Nurse Practitioner | 890 Bethel Hill Rd, Shickshinny, PA 18655-3706 | 2019-03-20 |
| Find all providers in zip 18655 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114185956 | Megan M O'donovan | Physician Assistant | 26 N Main St, Shickshinny, PA 18655-1302 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | SHICKSHINNY |
| Zip Code | 18655 |
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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.