Matthew R Reynolds (NPI# 1760762629, PAC ID# 2466747803) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1760762629 |
| PAC ID by PECOS | 2466747803 |
| Professional Enrollment ID | I20160824000320 |
| Full Name | Matthew R Reynolds |
| Organization Legal Name | TAMPA BAY SURGICAL GROUP LLP |
| Address |
2039 Indian Rocks S Rd Largo FL 33774-1035 |
| Phone Number | 7275847666 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Group Practice PAC ID | 8224113527 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100248 | LARGO MEDICAL CENTER |
| 100126 | PALMS OF PASADENA HOSPITAL |
| 100127 | MORTON PLANT HOSPITAL |
| 100032 | BAYFRONT HEALTH - ST PETERSBURG |
| Address | Phone | Organization |
|---|---|---|
| 2039 Indian Rocks S Rd, Largo, FL 33774-1035 | 7275847666 | TAMPA BAY SURGICAL GROUP LLP |
| Organization Legal Name | TAMPA BAY SURGICAL GROUP LLP |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur L Verga | Colorectal Surgery (proctology) | Tampa Bay Surgical Group LLP | 7543 Medical Dr, Hudson, FL 34667-6502 |
| David S Mason | Colorectal Surgery (proctology) | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Cynthia J Mcneave | Nurse Practitioner | Tampa Bay Surgical Group LLP | 995 16th St N, St Petersburg, FL 33705-1210 |
| Richard S Gordon | General Surgery | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Steven H Silverman | Vascular Surgery | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Patricia A Hermans | Physician Assistant | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Michael C Lilly | General Surgery | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Kimberly A Giffard | General Surgery | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Richard R Fansler | General Surgery | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Nicole A Ida | Nurse Practitioner | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Street Address |
2039 INDIAN ROCKS S RD |
| City | LARGO |
| State | FL |
| Zip | 33774-1035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David S Mason | Colorectal Surgery (proctology) | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Richard S Gordon | General Surgery | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Steven H Silverman | Vascular Surgery | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Patricia A Hermans | Physician Assistant | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Michael C Lilly | General Surgery | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Kimberly A Giffard | General Surgery | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Richard R Fansler | General Surgery | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Nicole A Ida | Nurse Practitioner | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Laurence J Martin | General Surgery | Tampa Bay Surgical Group LLP | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 |
| Jeffrey Lombard | Urology | 2039 Indian Rocks S Rd, Largo, FL 33774-1035 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Napier | Osteopathic Manipulative Medicine | 1603 Indian Rocks S Rd, Largo, FL 33774-1026 | |
| Vicki G Pappageorge | Family Practice | 1603 Indian Rocks S Rd, Largo, FL 33774-1026 | |
| Eric C Rost | Radiation Oncology | 1835 Indian Rocks Rd S, Largo, FL 33774-1030 | |
| John Hill West | Radiation Oncology | Tampa Bay Oncology Center, Inc | 1835 Indian Rocks Rd S, Largo, FL 33774-1030 |
| Priyadarshini G Rao | Internal Medicine | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Maryana Henson | Nurse Practitioner | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Brent J Lataille | Nurse Practitioner | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Connie M Horne | Internal Medicine | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Sunit Srivastava | Internal Medicine | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Danielle Caraballo | Nurse Practitioner | Legacy Health Medical Group, LLC | 1 Kent Dr, Largo, FL 33774-1033 |
| Find all physicians in zip 33774 | |||
| City | LARGO |
| Zip Code | 33774 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LARGO + GENERAL SURGERY |
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| 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.