MICHAEL GEORGE REYNOLDS (NPI# 1760486526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760486526 |
| Entity Type | Individual |
| Full Name | MICHAEL GEORGE REYNOLDS |
| Credential | M.D. |
| Practice Address |
1602 W 15th Ave Ste B Emporia KS 66801-5672 |
| Practice Telephone | 6203426989 |
| Practice Fax Number | 6203422262 |
| Mailing Telephone | 6203426989 |
| Mailing Fax Number | 6203422262 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2014-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 04-24388 | KS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 47-1424576 | 01 | |
| KS | 100164440A | 05 | |
| OLD TAX ID | 48-0792406 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035655 | Michael Justin Reynolds | Home Health Aide | 3926 Southern Ave Se, 101, Washington, DC 20020-2002 | 2020-08-25 |
| 1578105243 | Michael L Reynolds | Dentist | 7742 Herschel Ave Ste I, La Jolla, CA 92037-4444 | 2019-10-14 |
| 1568769743 | Michael David Reynolds | Rehabilitation Practitioner | 6486 Violet Breeze Way, Las Vegas, NV 89142-0997 | 2011-02-23 |
| 1881913150 | Michael Henry Reynolds II | Social Worker | 32790 State Highway 99 S, Stonewall, OK 74871-6128 | 2010-05-25 |
| 1164740767 | Michael W Reynolds | Social Worker | 108 Lincoln Rd Nw, Lake Placid, FL 33852-9728 | 2010-05-07 |
| 1942534714 | Michael P Reynolds | Occupational Therapy Assistant | 2457 N 81st St, Wauwatosa, WI 53213-1012 | 2009-09-28 |
| 1861654626 | Michael Thomas Reynolds | Dentist | 625 E. Nicollet Blvd, Suite 340, Burnsville, MN 55337 | 2008-07-01 |
| 1457319543 | Michael J Reynolds | Anesthesiology | 4821 Montgomery Ln, 801, Bethesda, MD 20814-3471 | 2006-05-01 |
| 1669436770 | Michael Bryan Reynolds | Family Medicine | 3480 Deltona Blvd, Spring Hill, FL 34606-2917 | 2006-04-14 |
| 1265418560 | Michael Connell Reynolds | Counselor | 251 Country Club Dr, Eden, NC 27288-3554 | 2005-12-19 |
| Street Address |
1602 W 15TH AVE STE B |
| City | EMPORIA |
| State | KS |
| Zip Code | 66801-5672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255740676 | Reynolds & Anliker Eye Physicians & Surgeons LLC | Ophthalmology | 1602 W 15th Ave, Ste B, Emporia, KS 66801-5672 | 2014-08-11 |
| 1487996369 | Brian Tolefree Crna LLC | Nurse Anesthetist, Certified Registered | 1602 W 15th Ave, Ste A, Emporia, KS 66801-5672 | 2013-03-19 |
| 1609152792 | Fms Midwest Dialysis Centers, LLC | Clinic/Center | 1602 W 15th Ave, Emporia, KS 66801-5672 | 2011-11-02 |
| 1669767034 | Jpcanesthesia, LLC | Nurse Anesthetist, Certified Registered | 1602 W 15th Ave, Suite A, Emporia, KS 66801-5672 | 2011-06-14 |
| 1790079911 | Jab Locum Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1602 W 15th Ave, Suite A, Emporia, KS 66801-5672 | 2011-06-06 |
| 1669772893 | Advanced Eye Surgery Center, L.L.C. | Clinic/Center | 1602 W 15th Ave, Suite A, Emporia, KS 66801-5672 | 2010-10-21 |
| 1144435207 | Reynolds & Anliker Eye Physicians & Surgeons, Pa | Ophthalmology | 1602 W 15th Ave, Ste B, Emporia, KS 66801-5672 | 2007-05-11 |
| 1730185174 | Emporia Surgical Hospital, LLC | General Acute Care Hospital | 1602 W 15th Ave, Emporia, KS 66801-0984 | 2005-06-21 |
| 1477557247 | Wayne Leroy Anliker | Specialist | 1602 W 15th Ave, Ste B, Emporia, KS 66801-5672 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539141 | Tina Marie Andrade | Counselor | 1500 Graphic Arts Road, Emporia, KS 66801 | 2018-02-26 |
| 1669918637 | Paden Bradley Eveland | Physical Medicine & Rehabilitation | 1 Kellogg Circle Emporia State University, Emporia, KS 66801 | 2017-01-13 |
| 1932501467 | Emily Prouse | Dietitian, Registered | 1 Kellogg Circle 250 Se Morse Hall, Emporia, KS 66801 | 2014-09-16 |
| 1407278112 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 Merchant St, Emporia, KS 66801 | 2014-01-15 |
| 1508105800 | Smith Agency LLC | In Home Supportive Care | 4245 W. Hwy 50, Emporia, KS 66801 | 2013-02-06 |
| 1891060919 | Gould Coates Garcia | Internal Medicine | 2014 Canterbury Rd, Emporia, KS 66801 | 2012-03-22 |
| 1457511321 | Amanda Lee Ruxton | Family Medicine | 1301 W 12th Ave Ste 101, Emporia, KS 66801 | 2008-06-13 |
| 1821262049 | Qi Qiao Joina Wu | Counselor | 115 West 5th Street, Emporia, KS 66801 | 2008-04-18 |
| 1013189703 | Kelly Elizabeth Long | Counselor | 115 W 5th, Emporia, KS 66801 | 2008-04-02 |
| 1851586275 | Hyun Chan Shin | Counselor | 115 5th Ave, Emporia, KS 66801 | 2007-09-10 |
| Find all providers in zip 66801 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114037322 | Emporia Head Neck P.a. | Specialist | 1130 Chestnut St, Emporia, KS 66801-2549 | 2006-08-30 |
| 1225001019 | Michael Dean Yost | Specialist | 1301 W 12th Ave Ste 105, Emporia, KS 66801-2588 | 2006-02-10 |
| 1437424017 | Central Care, Pa | Specialist | 1401 W 12th Ave, Emporia, KS 66801-2570 | 2012-03-15 |
| 1477557247 | Wayne Leroy Anliker | Specialist | 1602 W 15th Ave, Ste B, Emporia, KS 66801-5672 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593215 | Latricia Renee Anderson | Specialist | 420 Se 29th St Ste B, Topeka, KS 66605-1191 | 2020-09-20 |
| 1275158537 | Casey M Emmerich | Specialist | 401 Arkansas St, Lawrence, KS 66044-1338 | 2020-06-12 |
| 1104475664 | Intangible Inches, LLC | Specialist | 13849 S Mur Len Rd Ste J, Olathe, KS 66062-1664 | 2019-09-08 |
| 1811455561 | Vordis Behavioral Health | Specialist | 8014 State Line Rd Ste 100, Prairie Village, KS 66208-3712 | 2019-03-12 |
| 1518409986 | Francis Leo Heisinger | Specialist | 12051 S Summit St, Olathe, KS 66062-4931 | 2016-11-16 |
| 1821530023 | Abby Henson | Specialist | 530 E Cheyenne St, Gardner, KS 66030-8409 | 2016-11-06 |
| 1811447048 | Kansas University Physicians, Inc. | Specialist | 7420 Switzer St, Shawnee, KS 66203-4550 | 2016-10-12 |
| 1639628829 | Tierra Lakes Medical Group, LLC | Specialist | 4969 N Tierra Lakes Pkwy, Bel Aire, KS 67226-3345 | 2016-09-28 |
| 1265980858 | Bobby Ballesteros | Specialist | 14614 S Brougham Dr, Olathe, KS 66062-2595 | 2016-09-13 |
| 1235684754 | John Lee Andres | Specialist | 1205 S 1st St, Hiawatha, KS 66434-2730 | 2016-08-25 |
| 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.