MRS. CAROLINE GOOCH REYNOLDS


Address: 340 Sabra Dr, Wilmington, NC 28405-3833
Phone: 9106126162

MRS. CAROLINE GOOCH REYNOLDS (NPI# 1982244471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982244471
Entity Type Individual
Full Name MRS. CAROLINE GOOCH REYNOLDS
Credential PA-C
Practice Address 340 Sabra Dr
Wilmington
NC 28405-3833
Practice Telephone 9106126162
Mailing Telephone 9106126162
Enumeration Date 2020-01-13
Last Update Date 2020-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0010-09658 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers CAROLINE REYNOLDS

NPI Name Taxonomy Address Enumeration
1942701529 Caroline Reynolds Specialist/Technologist 8100 Lomo Alto Dr, Dallas, TX 75225-6530 2018-02-28
1174054399 Caroline Reynolds Student in an Organized Health Care Education/Training Program 111 Colchester Ave, Burlington, VT 05401-1473 2017-03-21
1982948204 Caroline R Reynolds Community Health Worker 25 N 14th St, San Jose, CA 95112-6204 2012-11-27
1215161054 Caroline Cade Reynolds Anesthesiology 2 Saint Vincent Cir, Little Rock, AR 72205-5423 2009-05-07
1336326107 Caroline Grace Reynolds Physician Assistant 2014 Washington St, Newton, MA 02462-1607 2008-01-23

Office Location

Street Address 340 SABRA DR
City WILMINGTON
State NC
Zip Code 28405-3833

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NPI Name Taxonomy Address Enumeration
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1710345400 Martha Arielle Walker Physician Assistant 6727 Parker Farm Dr, Wilmington, NC 28405 2016-02-09
1033549910 Christine Urban Bruin Psychologist 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 2013-11-14
1487083358 Aci Support Specialists Day Training, Developmentally Disabled Services 117 Spartan Road, Wilmington, NC 28405 2013-11-01
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1568718328 Cameron Nichole Ford Occupational Therapy Assistant 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 2012-07-31
1881959534 Ashley Brennen Cook Speech-Language Pathologist 4613 Trafalgar Rd, Wilmington, NC 28405 2012-07-09
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821658675 Matthew Hisler Hrin Physician Assistant 5209 W Woodmill Dr Ste 35, Wilmington, DE 19808-4068 2019-06-14
1922461482 Elma Estrada Physician Assistant 200 E. Anaheim Street, Wilmington, CA 90744 2016-04-01
1568833010 N. Barton & Associates Inc. Physician Assistant 3629 Old Capitol Trl, Wilmington, DE 19808-6025 2015-10-09
1770950305 Angelica Jackson Physician Assistant 1982 Eastwood Rd, Wilmington, NC 28403-7213 2015-08-31
1396015939 Access Internal Medicine, PC Physician Assistant 1606 Wellington Ave Ste A, Wilmington, NC 28401-7704 2012-01-11
1679741987 Amy L Strasser Physician Assistant 2700 Silverside Rd Ste 2, Wilmington, DE 19810-3724 2008-02-20
1932387842 Gabrielle Logan Neal-barney Physician Assistant 2301 Delaney Ave, Wilmington, NC 28403-6012 2008-02-01
1528247244 Teresa A. Holler Physician Assistant 4000 Shipyard Blvd Ste 120, Wilmington, NC 28403-6194 2007-10-30
1902922677 Robert Anthony Disibio Jr. Physician Assistant 3322 Silverside Rd, Wilmington, DE 19810 2007-03-22
1598836462 Andrew N. Illobre Physician Assistant 6419 Carolina Beach Rd, Suite A, Wilmington, NC 28412-2759 2006-11-13
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Competitor

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City WILMINGTON
Zip Code 28405

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Dataset Information

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.

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