MRS. EMILY MARISSA REYNOLDS (NPI# 1760932040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760932040 |
| Entity Type | Individual |
| Full Name | MRS. EMILY MARISSA REYNOLDS |
| Credential | PA-C |
| Practice Address |
315 So Manning Blvd Surgical Pa Room 7422 Albany NY 12208 |
| Mailing Address |
315 S Manning Blvd Surgical Pa Room 7422 Albany NY 12208-1707 |
| Practice Telephone | 5185258600 |
| Mailing Telephone | 5185258600 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
020236 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154342 | Emily Reynolds | Behavior Technician | 75 E Veterans Dr Apt Q209, Cookeville, TN 38501-5248 | 2020-11-05 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1033668199 | Emily Reynolds | Midwife | 4153 Flamingo Blvd, Port Charlotte, FL 33948-2245 | 2016-09-29 |
| 1437359387 | Emily Dawn Reynolds | Counselor | 104 Sw Kinkade Road, Boardman, OR 97818 | 2007-07-19 |
| 1386244424 | Emily Patience Reynolds | Nurse Practitioner | 55 Centennial Blvd, Chillicothe, OH 45601-1187 | 2020-10-28 |
| 1982249025 | Emily B Reynolds | Behavioral Analyst | 230 N Belcrest Ave, Springfield, MO 65802-6288 | 2019-11-13 |
| 1134601040 | Emily Reynolds | Physical Therapy Assistant | 300 Polaris Pkwy, Westerville, OH 43082-7989 | 2018-09-06 |
| 1649759101 | Emily Reynolds | Occupational Therapy Assistant | 1000 White Dr, Batesville, AR 72501-2001 | 2018-08-07 |
| 1841728359 | Emily Elaine Reynolds | Optometrist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2017-05-28 |
| 1558761932 | Emily R Reynolds | Physician Assistant | 624 Maysville Rd, Mt Sterling, KY 40353-9767 | 2014-09-04 |
| Street Address |
315 SO MANNING BLVD SURGICAL PA ROOM 7422 |
| City | ALBANY |
| State | NY |
| Zip Code | 12208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235377334 | Douglas George Walled | Radiology | 315 So Manning Blvd, Sph Medical Imaging, Albany, NY 12208 | 2009-01-27 |
| 1669099750 | Stephanie Kathleen Dulay | Nurse Practitioner | 315 So Manning Blvd, Sparc, Albany, NY 12208-1707 | 2020-07-06 |
| 1922623586 | Samantha Marion Hutchins | Physician Assistant | 315 So Manning Blvd, Hospitalist Department, Albany, NY 12208-1707 | 2020-06-10 |
| 1225652118 | Sarah Jeannette Klepp | Physician Assistant | 315 So Manning Blvd, St. Peter's Hospital, Albany, NY 12208-1707 | 2020-06-05 |
| 1821611062 | Emma R Cummings | Physician Assistant | 315 So Manning Blvd, Hospitalist Department, Albany, NY 12208-1707 | 2020-05-22 |
| 1801440185 | Jessica Hoffman | Physician Assistant | 315 So Manning Blvd, St. Peter's Hospital, Albany, NY 12208 | 2019-07-25 |
| 1144742875 | Isha N Vyas | Physician Assistant | 315 So Manning Blvd, St. Peter's Hospital of The City of Albany, Albany, NY 12208 | 2017-07-14 |
| 1619330396 | Ashok A Ramani | Hospitalist | 315 So Manning Blvd, St. Peter's Hospital Department, Albany, NY 12208 | 2016-03-31 |
| 1093145658 | Dan Liu | Internal Medicine | 315 So Manning Blvd, Hospitalist Dept, Albany, NY 12208 | 2013-11-19 |
| 1811281587 | Chrystal Debra Price | Internal Medicine | 315 So Manning Blvd, Hospitalist Department, Albany, NY 12208 | 2011-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912486747 | Karen Duane | Physician Assistant | 48 New Scotland Ave, Albany, NY 12208 | 2018-08-13 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1356722714 | Megan Weitzel | Physician Assistant | 50 New Scotland Ave # Mc-190, Albany, NY 12208-3403 | 2015-06-11 |
| 1063899847 | Philip Rabadi | Physician Assistant | 27 Westlyn Ct, Albany, NY 12203-3463 | 2015-04-30 |
| 1467885459 | Heather Freeman | Physician Assistant | 1980 Western Ave, Apt 731, Albany, NY 12203-5051 | 2013-08-14 |
| 1861509531 | Tracy Dee Amsden | Physician Assistant | 1365 Washington Ave Ste 300, Albany, NY 12206-1098 | 2006-08-25 |
| 1124015748 | Dan C West | Physician Assistant | 605 N Westover Blvd, Albany, GA 31707-2188 | 2005-09-29 |
| 1750378329 | Sheri B Smith | Physician Assistant | 2311 Lake Park Drive, Albany, GA 31707 | 2005-09-29 |
| 1942816368 | Brian D Klassner | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2020-09-21 |
| 1114535077 | Jonathan Stephens | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2020-07-16 |
| Find all providers in ALBANY | ||||
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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.