Tommy Reynolds (NPI# 1346289618, PAC ID# 9638186760) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC SURGERY.
| Nation Provider ID (NPI) | 1346289618 |
| PAC ID by PECOS | 9638186760 |
| Professional Enrollment ID | I20100224000984 |
| Full Name | Tommy Reynolds |
| Organization Legal Name | HEART HOSPITAL OF SOUTH DAKOTA LLC |
| Address |
4500 W 69 St Sioux Falls SD 57108-8148 |
| Phone Number | 6059777000 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | CARDIAC SURGERY |
| Secondary Specialties | THORACIC SURGERY, VASCULAR SURGERY |
| Group Practice PAC ID | 5799777249 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430095 | AVERA HEART HOSPITAL OF SOUTH DAKOTA |
| 430016 | AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER |
| 430015 | AVERA ST MARY'S HOSPITAL |
| 161351 | AVERA HOLY FAMILY HOSPITAL |
| 161336 | HEGG MEMORIAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 S Bruce St, Marshall, MN 56258-1934 | 5075379007 | HEART HOSPITAL OF SOUTH DAKOTA LLC |
| 1202 21st Ave, Rock Valley, IA 51247-1420 | 7124768000 | HEART HOSPITAL OF SOUTH DAKOTA LLC |
| 600 9th Ave N, Osceola Community Hospital, Sibley, IA 51249-1012 | 7127542574 | HEART HOSPITAL OF SOUTH DAKOTA LLC |
| 4500 W 69 St, Sioux Falls, SD 57108-8148 | 6059777000 | HEART HOSPITAL OF SOUTH DAKOTA LLC |
| 116 E 11th St, Avera Medial Group, Spencer, IA 51301-4300 | 7122643500 | HEART HOSPITAL OF SOUTH DAKOTA LLC |
| Organization Legal Name | HEART HOSPITAL OF SOUTH DAKOTA LLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Clinton Halligan | Interventional Cardiology | Heart Hospital of South Dakota LLC | 916 4th Ave Sw, Pipestone, MN 56164-1890 |
| Riyad Mohama | Cardiac Electrophysiology | Heart Hospital of South Dakota LLC | 826 N 8th St, Avera Holy Family Health, Estherville, IA 51334-1598 |
| Melinda J Frost | Nurse Practitioner | Heart Hospital of South Dakota LLC | 4520 W 69th St, Sioux Falls, SD 57108-8148 |
| Paul E Meyer | Cardiac Surgery | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Mark Fausch | Cardiovascular Disease (cardiology) | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Mohammed Andaleeb Chowdhury | Cardiovascular Disease (cardiology) | Heart Hospital of South Dakota LLC | 4520 W 69th St, Sioux Falls, SD 57108-8148 |
| Dustin J Weiss | General Surgery | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Matthew D Benson | Certified Registered Nurse Anesthetist (crna) | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Ewa A Konik | Cardiovascular Disease (cardiology) | Heart Hospital of South Dakota LLC | 300 S Bruce St, Marshall, MN 56258-1934 |
| Tarek H Mahrous | Interventional Cardiology | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Street Address |
4500 W 69 ST |
| City | SIOUX FALLS |
| State | SD |
| Zip | 57108-8148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul E Meyer | Cardiac Surgery | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Mark Fausch | Cardiovascular Disease (cardiology) | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Dustin J Weiss | General Surgery | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Matthew D Benson | Certified Registered Nurse Anesthetist (crna) | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Tarek H Mahrous | Interventional Cardiology | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Andrea Meekins | Nurse Practitioner | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Karen M Bordewyk | Certified Registered Nurse Anesthetist (crna) | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Jonathon C Adams | Cardiac Electrophysiology | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Paul Lynn Carpenter | Cardiovascular Disease (cardiology) | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Michael David Hibbard | Interventional Cardiology | Heart Hospital of South Dakota LLC | 4500 W 69 St, Sioux Falls, SD 57108-8148 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodie Katherine Hartmann Mcsherry | Physician Assistant | Midwest Ear, Nose and Throat Associates P C | 2315 W 57 St, Sioux Falls, SD 57108 |
| Brooke R Espicha | Physician Assistant | Midwest Ear, Nose and Throat Associates P C | 2315 W 57 St, Sioux Falls, SD 57108 |
| Jane M O Connell | Qualified Audiologist | Midwest Ear, Nose and Throat Associates P C | 2315 W 57 St, Sioux Falls, SD 57108 |
| Gregory Paul Danielson | Otolaryngology | Midwest Ear, Nose and Throat Associates P C | 2315 W 57 St, Sioux Falls, SD 57108 |
| Kenneth M Scott | Otolaryngology | Midwest Ear, Nose and Throat Associates P C | 2315 W 57 St, Sioux Falls, SD 57108 |
| Kelcey J Cushman-niedermeier | Qualified Audiologist | Midwest Ear, Nose and Throat Associates P C | 2315 W 57 St, Sioux Falls, SD 57108 |
| Joel T Brewer | Qualified Audiologist | Midwest Ear, Nose and Throat Associates P C | 2315 W 57 St, Sioux Falls, SD 57108 |
| Paul A Cink | Otolaryngology | Midwest Ear, Nose and Throat Associates P C | 2315 W 57 St, Sioux Falls, SD 57108 |
| Carolyn J Duenwald | Physician Assistant | Midwest Ear, Nose and Throat Associates P C | 2315 W 57 St, Sioux Falls, SD 57108 |
| Daniel W Todd | Otolaryngology | Midwest Ear, Nose and Throat Associates P C | 2315 W 57 St, Sioux Falls, SD 57108 |
| Find all physicians in zip 57108 | |||
| City | SIOUX FALLS |
| Zip Code | 57108 |
| Specialty | CARDIAC SURGERY |
| City + Specialty | SIOUX FALLS + CARDIAC SURGERY |
Please comment or provide details below to improve the information on Tommy 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.