DR. F DOUGLAS REYNOLDS (NPI# 1962483719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962483719 |
| Entity Type | Individual |
| Full Name | DR. F DOUGLAS REYNOLDS |
| Credential | D.P.M. |
| Practice Address |
700 Mount Hope Ave Ste 620 Bangor ME 04401-5671 |
| Practice Telephone | 2079472220 |
| Practice Fax Number | 2079474073 |
| Mailing Telephone | 2079472220 |
| Mailing Fax Number | 2079474073 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2019-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | POD 181 | ME | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
POD 181 | ME | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
POD 181 | ME | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD 181 | ME | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 126420099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972689164 | F Hall Reynolds | Dermatology | 6141 Shallowford Road, Chattanooga, TN 37421 | 2006-10-31 |
| Street Address |
700 MOUNT HOPE AVE STE 620 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104138007 | Winston Harper | Podiatrist | 700 Mount Hope Ave Ste 620, Bangor, ME 04401-5671 | 2010-07-08 |
| 1326121294 | Acadia Foot & Ankle Pa | Podiatrist | 700 Mount Hope Ave Ste 620, Bangor, ME 04401-3667 | 2006-10-23 |
| 1164490009 | Keith S Kendall | Podiatrist | 700 Mount Hope Ave Ste 620, Bangor, ME 04401-5671 | 2006-03-08 |
| 1134100456 | Adam W Darcy | Podiatrist | 700 Mount Hope Ave Ste 620, Bangor, ME 04401-5671 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857807 | Acadia Foot & Ankle, Pa | Podiatrist | 33 Penn Plz Ste A, Bangor, ME 04401-3619 | 2015-12-17 |
| 1841690377 | Penobscot Family Foot and Ankle Center | Podiatrist | 205 French St, Bangor, ME 04401-5064 | 2014-09-03 |
| 1144590563 | Kathleen Anne Hope | Podiatrist | 325 Blue Valley Dr, Bangor, PA 18013-1526 | 2012-01-02 |
| 1104138007 | Winston Harper | Podiatrist | 700 Mount Hope Ave Ste 620, Bangor, ME 04401-5671 | 2010-07-08 |
| 1053400804 | Cheralyn Suzanne Perkins | Podiatrist | 325 Blue Valley Dr, Bangor, PA 18013-1526 | 2006-10-12 |
| 1366491938 | Bangor Podiatry LLC | Podiatrist | 325 Blue Valley Dr, Bangor, PA 18013-1526 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528532504 | Foot and Ankle of Augusta Pa | Podiatrist | 3 Saint Catherine St, Augusta, ME 04330-5732 | 2019-01-14 |
| 1568881498 | Samuel M Hall | Podiatrist | 4 Glen Cove Dr Ste 205, Rockport, ME 04856-4237 | 2014-04-08 |
| 1750703849 | Steven Farina | Podiatrist | 163 Van Buren Rd., Caribou, ME 04736-4006 | 2014-01-09 |
| 1689854382 | Kenneth D Warren Jr. | Podiatrist | 2 Berry Ct, Kennebunk, ME 04043-6812 | 2007-11-09 |
| 1508950155 | Olivia Newton | Podiatrist | 5 Abby Rd, Windham, ME 04062-5513 | 2006-10-03 |
| 1437265535 | David Joseph Micca | Podiatrist | 4 Morning Walk Ln, Kennebunk, ME 04043-7786 | 2006-08-22 |
| 1538149471 | Christopher Gerard Pingitore | Podiatrist | 51 Sewall St Ste 2, Portland, ME 04102-2644 | 2006-01-18 |
| 1194705038 | John Henry Dorsey Jr. | Podiatrist | 195 Fore River Parkway, Suite 120, Portland, ME 04102 | 2006-01-18 |
| 1568448272 | Barry M White | Podiatrist | 45 Forest Falls Dr, Yarmouth, ME 04096-6999 | 2005-12-15 |
| 1285624874 | John B Perry | Podiatrist | 1711 Congress St, Portland, ME 04102-1962 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. F DOUGLAS REYNOLDS.
| 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.