DR. GLENN THOMAS REYNOLDS (NPI# 1881642551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881642551 |
| Entity Type | Individual |
| Full Name | DR. GLENN THOMAS REYNOLDS |
| Credential | MD |
| Practice Address |
200 Research Dr Manhattan KS 66503-3049 |
| Practice Telephone | 7855394644 |
| Practice Fax Number | 7855398010 |
| Mailing Telephone | 7855394644 |
| Mailing Fax Number | 7855398010 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
04-40715 | KS | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
42180 | MT | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G63930 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M-11533 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MCRR | P01203003 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1101 26th St S, Great Falls, MT 594055161 | 4064555484 |
| Street Address |
200 RESEARCH DR |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66503-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709524 | The Nutrition Clinic LLC | Clinic/Center | 200 Research Dr, Manhattan, KS 66503-3049 | 2020-11-01 |
| 1184262511 | Amanda Nall | Nurse Practitioner | 200 Research Dr, Manhattan, KS 66503-3049 | 2019-12-17 |
| 1518458504 | Jordan Amanda Chen | Dietitian, Registered | 200 Research Dr, Manhattan, KS 66503-3049 | 2018-05-24 |
| 1417477571 | Robyn Alyssa Crane-mccallister | Nurse Practitioner | 200 Research Dr, Manhattan, KS 66503-3049 | 2017-06-20 |
| 1609138387 | Manhattan Medical Group, LLC | Family Medicine | 200 Research Dr, Manhattan, KS 66503-3049 | 2012-06-08 |
| 1962797589 | Hollie Ann Hall | Nurse Practitioner | 200 Research Dr, Manhattan, KS 66503-3049 | 2011-06-11 |
| 1841599628 | Ramez Awni Smairat | Internal Medicine | 200 Research Dr, Manhattan, KS 66503-3049 | 2011-03-20 |
| 1851608418 | Lindsay M Ruder | Physician Assistant | 200 Research Dr, Manhattan, KS 66503-3049 | 2010-09-02 |
| 1497952998 | Priyantha S. Ranaweera | Internal Medicine | 200 Research Dr, Manhattan, KS 66503-3049 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023325552 | Jason Michael Harader | Audiologist | 4201 Anderson Avenue, Bldg. C, Manhattan, KS 66503 | 2010-09-03 |
| 1447576582 | Urban Studios LLC | Prosthetic/Orthotic Supplier | 820 Commons Place, Manhattan, KS 66503 | 2010-04-14 |
| 1013163211 | Majdy Ali A. Albahhar | Dermatology | 4201 B Anderson Avenue, Suite 2, Manhattan, KS 66503 | 2008-08-07 |
| 1972783405 | Erin Nichole Mellies | Counselor | 222 Southwind Pl, Manhattan, KS 66503 | 2007-11-13 |
| 1912067695 | Stoneybrook Nursing Facility Operations, LLC | Skilled Nursing Facility | 2025 Little Kitten Ave, Manhattan, KS 66503 | 2006-12-11 |
| 1144249145 | Ellen Odette Remsing | Dental Assistant | 4201 A Anderson Avenue, Manhattan, KS 66503 | 2006-07-19 |
| 1659332195 | Charles Louis Klobasa | Psychiatry & Neurology | 225 Southwind Place, Manhattan, KS 66503 | 2006-03-31 |
| 1346233657 | Frank C Lyons Jr. | Legal Medicine | 4809 Vue Du Loc, Suite 101, Manhattan, KS 66503 | 2005-08-23 |
| 1932102381 | Tiffany Nicole Engelken | Nurse Practitioner | 4201 Anderson Ave Ste B2, Manhattan, KS 66503 | 2005-05-31 |
| 1750826632 | Rachel Marie Irwin | Behavior Technician | 1133 College Ave, A213, Manhattan, KS 66503 | 2016-12-30 |
| Find all providers in zip 66503 | ||||
| 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 |
|---|---|---|---|---|
| 1841599628 | Ramez Awni Smairat | Internal Medicine | 200 Research Dr, Manhattan, KS 66503-3049 | 2011-03-20 |
| 1710946256 | Gilbert Katz | Internal Medicine | 1133 College Ave, Suite E-110, Manhattan, KS 66502-2770 | 2006-03-22 |
| 1528037595 | James E Hurtig | Internal Medicine | 1133 College Ave, Ste. E-210, Manhattan, KS 66502-2770 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417347857 | Kansas Vascular Medicine, P.a. | Internal Medicine | 6130 E Central Ave Ste 117, Wichita, KS 67208-4238 | 2015-01-23 |
| 1083010458 | Mancina Cardiovascular Medicine | Internal Medicine | 1601 Washington Blvd, Kansas City, KS 66102-2841 | 2014-11-13 |
| 1225303563 | Shone Oscar Almeida | Internal Medicine | 5100 W 110th St Fl 2, Overland Park, KS 66211-1215 | 2012-03-20 |
| 1114234101 | James Clinton Mershon | Internal Medicine | 7617 E Donegal St, Wichita, KS 67206-1613 | 2010-09-12 |
| 1932369238 | Sherman M. Steinzeig | Internal Medicine | 6620 W 93rd St, Apt. A, Overland Park, KS 66212-1303 | 2008-06-11 |
| 1417077272 | Richard B Bloom | Internal Medicine | 3730 N Ridge Rd Ste 200, Kansas Endovascular Medicine Associates, Wichita, KS 67205-1228 | 2007-03-29 |
| 1790834950 | Amit Kumar | Internal Medicine | 6730 Sw 29th St Ste 200, Topeka, KS 66614-5650 | 2007-01-09 |
| 1316013469 | Eecp Heart Center of Kansas Inc | Internal Medicine | 551 N Hillside St Ste 130, Wichita, KS 67214-4924 | 2006-11-28 |
| 1770684912 | Ronnie G. Smalling | Internal Medicine | 11025 Metcalf Avenue, Overland Park, KS 66210 | 2006-09-26 |
| 1356454912 | Thomas L Rosamond | Internal Medicine | 4000 Cambrodge Street Ste G600, Kansas City, KS 66160-8501 | 2006-08-17 |
| 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.