Tony Lee Reynolds (NPI# 1124387568, PAC ID# 3971767252) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124387568 |
| PAC ID by PECOS | 3971767252 |
| Professional Enrollment ID | I20170209000956 |
| Full Name | Tony Lee Reynolds |
| Organization Legal Name | LAKE HEALTH DISTRICT |
| Address |
700 S J St Lakeview OR 97630-1623 |
| Phone Number | 5419472114 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284629221 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381309 | LAKE DISTRICT HOSPITAL |
| 051330 | MODOC MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 S J St, Lakeview, OR 97630-1623 | 5419472114 | LAKE HEALTH DISTRICT |
| Organization Legal Name | LAKE HEALTH DISTRICT |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen Edith Mouser | Nurse Practitioner | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Mark F Bradbury | General Surgery | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Matthew Christopher Foster | Family Medicine | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Tiffany M Crane | Nurse Practitioner | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Wesley J Stevens | General Practice | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Kathleen J Thompson | Physician Assistant | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Jane M Lincoln | Clinical Social Worker | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Erin D Steward | Physician Assistant | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Rosanne Fitzgerald | Nurse Practitioner | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Stephen A Hussey | Family Medicine | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Street Address |
700 S J ST |
| City | LAKEVIEW |
| State | OR |
| Zip | 97630-1623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen Edith Mouser | Nurse Practitioner | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Mark F Bradbury | General Surgery | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Matthew Christopher Foster | Family Medicine | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Tiffany M Crane | Nurse Practitioner | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Wesley J Stevens | General Practice | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Kathleen J Thompson | Physician Assistant | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Jane M Lincoln | Clinical Social Worker | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| David L Guarraia | Cardiovascular Disease (cardiology) | St Charles Health System Inc | 700 S J St, Heart and Lung, Lakeview, OR 97630-1623 |
| Erin D Steward | Physician Assistant | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Rosanne Fitzgerald | Nurse Practitioner | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Waikwong Yeung | Chiropractic | 409 N 1st St, Lakeview, OR 97630-1501 | |
| David M Ager | Chiropractic | 100 N D St, Suite 206, Lakeview, OR 97630-1553 | |
| Stephen A Hussey | Family Medicine | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Timothy Adrian Gallagher | Family Medicine | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Kristofer R Mcallister | Physician Assistant | Lake Health District | 700 S J St, Lakeview, OR 97630-1623 |
| Charles Graham | Family Practice | 620 S J St, Lakeview, OR 97630-1680 |
| City | LAKEVIEW |
| Zip Code | 97630 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKEVIEW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tony Lee 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.