Mark Douglas Reynolds (NPI# 1497793632, PAC ID# 0941347967) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1497793632 |
| PAC ID by PECOS | 0941347967 |
| Professional Enrollment ID | I20111130000014 |
| Full Name | Mark Douglas Reynolds |
| Address |
5409 Ave O Suite 118 Fort Madison IA 52627-9602 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1989 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160122 | FORT MADISON COMMUNITY HOSPITAL |
| 160057 | GREAT RIVER MEDICAL CENTER |
| 160008 | KEOKUK AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5409 Ave O, Suite 118, Fort Madison, IA 52627-9602 | ||
| 1223 S Gear Ave, Suite 307, West Burlington, IA 52655-1689 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% |
| Street Address |
5409 AVE O SUITE 118 |
| City | FORT MADISON |
| State | IA |
| Zip | 52627-9602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D David | Family Medicine | Fort Madison Community Hospital | 5409 Ave O, Fort Madison, IA 52627-9601 |
| Wesley R Bagan | General Surgery | Fort Madison Community Hospital | 5409 Ave O, Fort Madison, IA 52627-9601 |
| Timothy S Staudte | Obstetrics/gynecology | Fort Madison Community Hospital | 5409 Ave O, Fort Madison, IA 52627-9601 |
| Alisa Kindig | Nurse Practitioner | Fort Madison Community Hospital | 5409 Ave O, Fort Madison, IA 52627-9601 |
| Chase A Newton | Family Medicine | Fort Madison Community Hospital | 5409 Ave O, Fort Madison, IA 52627-9601 |
| Mary C Bentler | Physician Assistant | Fort Madison Community Hospital | 5409 Ave O, Fort Madison, IA 52627-9601 |
| Michelle L Hornung | Nurse Practitioner | Fort Madison Community Hospital | 5409 Ave O, Fort Madison, IA 52627-9601 |
| Amy D Wallis | Nurse Practitioner | Fort Madison Community Hospital | 5409 Ave O, Fort Madison, IA 52627-9601 |
| Kathy J Anderson | General Practice | Fort Madison Community Hospital | 5409 Ave O, Fort Madison, IA 52627-9601 |
| Pauline W Agornyo | Internal Medicine | Fort Madison Community Hospital | 5409 Ave O, Fort Madison, IA 52627-9601 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise L Stutes | Clinical Social Worker | Optimae Lifeservices Inc | 509 Ave F, Fort Madison, IA 52627-2910 |
| Lauri Lynn Wondra | Chiropractic | 724 Ave G, Fort Madison, IA 52627-2927 | |
| Tim D Wondra | Chiropractic | 724 Ave G, Fort Madison, IA 52627-2927 | |
| Robert H Brockman | Chiropractic | 2311 Ave L, Suite 3, Fort Madison, IA 52627-4012 | |
| Mark A Saathoff | Podiatry | 702 23rd St, Fort Madison, IA 52627-4040 | |
| Mariah K Meller | Chiropractic | 939 Ave G, Fort Madison, IA 52627-4502 | |
| Dawn M Combites | Clinical Social Worker | 1014 Ave H, Suite 1, Fort Madison, IA 52627-4507 | |
| Rick C Courtney | Chiropractic | 1219 Ave H, Fort Madison, IA 52627-4545 | |
| Roseller Lim Libarnes | Internal Medicine | Fort Madison Community Hospital | 5409 Ave O, Fort Madison, IA 52627-9601 |
| Carrie A Skibba | Nurse Practitioner | Fort Madison Community Hospital | 5409 Ave O, Fort Madison, IA 52627-9601 |
| Find all physicians in zip 52627 | |||
| City | FORT MADISON |
| Zip Code | 52627 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | FORT MADISON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Mark Douglas Reynolds.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.