DR. CARL R REYNOLDS (NPI# 1770502221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770502221 |
| Entity Type | Individual |
| Full Name | DR. CARL R REYNOLDS |
| Credential | MD |
| Practice Address |
51 N. 39th Street Phi Suite 2c Philadelphia PA 19104 |
| Mailing Address |
51 N 39th St Phi Suite 2c Philadelphia PA 19104 |
| Practice Telephone | 2156629010 |
| Mailing Telephone | 2156629010 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2009-00801 | NC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD429251 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD429251 | PA | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD429251 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NC1090 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548214646 | Carl H Reynolds V | Hospitalist | 1425 Portland Ave, Rochester, NY 14621-3001 | 2006-05-22 |
| Street Address |
51 N. 39TH STREET PHI SUITE 2C |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518954395 | Nevena Damjanov | Internal Medicine | 51 N. 39th Street, 103a Medical Arts Building, Philadelphia, PA 19104-2640 | 2005-10-05 |
| 1356801807 | Monica Gupta | Student in an Organized Health Care Education/Training Program | 51 N. 39th Street, 6th Floor, Philadelphia, PA 19104 | 2019-03-21 |
| 1144792276 | Elizabeth Anne Larijani | Pharmacist | 51 N. 39th Street, Abramson Cancer Center, Philadelphia, PA 19104 | 2018-12-31 |
| 1518455948 | Cathrine A Stark | Student in an Organized Health Care Education/Training Program | 51 N. 39th Street, Mab 211, Philadelphia, PA 19104 | 2018-05-01 |
| 1891132726 | Allison Marian Paisley | Nurse Practitioner | 51 N. 39th Street, Philadelphia, PA 19104 | 2013-06-01 |
| 1972895365 | Laura N Medford-davis | Emergency Medicine | 51 N. 39th Street, M01, Philadelphia, PA 19104 | 2011-05-04 |
| 1023335114 | Sean D Foster | Emergency Medicine | 51 N. 39th Street, -myrin - M01, Philadelphia, PA 19104 | 2010-04-28 |
| 1750511713 | Alice A T Mcgill | Physician Assistant | 51 N. 39th Street, Mob 300, Philadelphia, PA 19104-2640 | 2009-07-23 |
| 1093949737 | Rachael Susan Truchil | Internal Medicine | 51 N. 39th Street, Philadelphia, PA 19104 | 2009-05-11 |
| 1962643254 | Christopher D O'brien | Internal Medicine | 51 N. 39th Street, Phi 1st Floor, Philadelphia, PA 19104-2640 | 2009-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780198754 | William Sigmund | Internal Medicine | 608 Spruce St, Philadelphia, PA 19106-4114 | 2017-11-28 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1346651130 | Chukwunweike Nwosu | Internal Medicine | 219 North Broad Street, Arnold T Berman Building, Philadelphia, PA 19107-3720 | 2014-05-14 |
| 1053736611 | Mary Osbakken | Internal Medicine | 29 W Walnut Ln, Philadelphia, PA 19144-2609 | 2014-02-19 |
| 1275969131 | Vohra Post Acute Care Physicians of The Northeast Pa | Internal Medicine | 8400 Bustleton Ave Ste 9, Philadelphia, PA 19152-1918 | 2013-09-23 |
| 1194169730 | Edward Sawyer Cooper | Internal Medicine | 6710 Lincoln Drive, Philadelphia, PA 19119 | 2013-04-25 |
| 1720322969 | Robert Alan Keisman | Internal Medicine | 300 Spring Garden St, Philadelphia, PA 19123-2932 | 2012-11-10 |
| 1497058390 | Urban Health Initiatives, Inc. | Internal Medicine | 1408 S. Broad Street, Philadelphia, PA 19146-4808 | 2010-12-15 |
| 1104133354 | Rajendra N Seth Md Associates | Internal Medicine | 5901 Summerdale Ave, Philadelphia, PA 19149-3626 | 2010-09-09 |
| 1194040436 | Paul Nicolas Fiorilli | Internal Medicine | 3400 Civic Center Blvd Fl 11, Philadelphia, PA 19104-5159 | 2010-03-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.