DR. KIRK ALLEN REYNOLDS


Address: 800 Fair Park Blvd, Little Rock, AR 72204
Phone: 5016633647

DR. KIRK ALLEN REYNOLDS (NPI# 1013118025) 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) 1013118025
Entity Type Individual
Full Name DR. KIRK ALLEN REYNOLDS
Credential M.D.
Practice Address 800 Fair Park Blvd
Little Rock
AR 72204
Mailing Address 800 Fair Park Blvd
Little Rock
AR 72204-1720
Practice Telephone 5016633647
Practice Fax Number 5016669652
Mailing Telephone 5016633647
Mailing Fax Number 5016669652
Enumeration Date 2007-05-29
Last Update Date 2018-07-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
E-7585 AR Allopathic & Osteopathic Physicians
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
51127 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR MEDICARE PTAN 297853YQCR 01
AR 199625001 05
AR AR LICENSE E7585 01

Office Location

Street Address 800 FAIR PARK BLVD
City LITTLE ROCK
State AR
Zip Code 72204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083606933 Jay M Lipke Orthopaedic Surgery 800 Fair Park Blvd, Little Rock, AR 72204 2005-08-17
1679173645 Tristan Jenkins Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2020-10-29
1386242899 Payton Rae Ransom Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2020-10-16
1942825476 Bryce Bossin Physical Therapist 800 Fair Park Blvd, Little Rock, AR 72204-1720 2020-06-10
1922658566 Victoria Caples Physical Therapist 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-09-16
1457818353 Kala Carol Hart Nurse Practitioner 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-02-27
1023575420 Faith Marquardt Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-02-22
1346706892 Christopher Allen Brynell Physical Therapist 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-02-20
1043776099 Lauren Abigail Rainwater Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-02-14
1073080255 John Joseph Head Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2018-10-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669952966 Shane Wilson Non-emergency Medical Transport (VAN) 1522 S Tyler St, Little Rock, AR 72204 2018-08-16
1659858348 Poplar Grove Operations LLC Skilled Nursing Facility 7801 Kanis Road, Little Rock, AR 72204 2018-07-25
1275056004 University of Arkansas for Medical Sciences Orthopaedic Surgery 108015 Colonel Glenn Rd, Little Rock, AR 72204 2017-07-24
1265954820 Marilyn Marie Lynch Registered Nurse 7723 Colonel Glenn Road, Little Rock, AR 72204 2017-07-14
1962852954 Arkansas Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 1122 S. University Ave, Little Rock, AR 72204 2016-06-21
1841607751 Charity Gillespie Registered Nurse 5210 Timberland Dr, Little Rock, AR 72204 2014-07-14
1043625221 Interventional Surgery Institute of Little Rock, LLC Clinic/Center 9 Freeway Drive, Suite A, Little Rock, AR 72204 2014-06-25
1548696065 Jamie Washington Prosthetic/Orthotic Supplier 4701 Westwood Ave, Little Rock, AR 72204 2013-09-16
1124468913 Stephanie Rachelle Jez Genetic Counselor, MS 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 2013-06-26
1336492321 Alton Charles Phillips Sr. Counselor 4400shuffield Drive, Little Rock, AR 72204 2012-10-16
Find all providers in zip 72204

Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144617465 Michael Mcconnaughhay Orthopaedic Surgery 10301 Kanis Rd, Little Rock, AR 72205-6205 2015-04-24
1659508810 Kenneth M Rosenzweig, Md, Pa Orthopaedic Surgery 8907 Kanis Rd, Suite 330, Little Rock, AR 72205-6449 2009-06-16
1740427830 Martin Knee and Sports Medicine Center, Pa Orthopaedic Surgery 5320 W. Markham, Little Rock, AR 72205 2009-01-12
1720178213 John Vander Schilden Orthopaedic Surgery 4301 W Markham St # 783, Little Rock, AR 72205-7101 2006-10-13
1295776037 Eric Houston Gordon Orthopaedic Surgery 800 Fair Park Blvd, Little Rock, AR 72204 2006-06-10
1144208224 James C Tucker Jr. Orthopaedic Surgery 600 S Mckinley St, Suite 102, Little Rock, AR 72205 2006-01-09
1528046786 Charles E Pearce Jr. Orthopaedic Surgery 600 S Mckinley St, Little Rock, AR 72205-5202 2006-01-06
1033197215 Ethan J Schock Orthopaedic Surgery 800 Fair Park Blvd, Little Rock, AR 72204 2006-01-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124504030 Interventional Cellular Medicine Centers, LLC Orthopaedic Surgery 593 Horsebarn Road, Suite 202, Rogers, AR 72758-7275 2018-07-13
1467612085 Kent Allen Schnetzler Orthopaedic Surgery 400 Crestwood Circle, Suite L, Mena, AR 71953 2008-06-17
1124012000 Christopher P Dougherty Orthopaedic Surgery 1504 Se 28th St, Bentonville, AR 72712-3988 2005-09-07
1730601451 Conway Regional Medical Center, Inc. Orthopaedic Surgery 525 Western Ave Ste 302, Conway, AR 72034-4981 2017-07-14
1639571201 Henderson State University Orthopaedic Surgery 1100 Henderson St, Hsu Box 7630, Arkadelphia, AR 71999-0001 2014-09-25
1154601805 Dominic Amadeo Jacobelli Orthopaedic Surgery 1000 S 52nd St, Rogers, AR 72758 2011-08-26
1922387505 White River Health System Inc Orthopaedic Surgery 2110 East Main, Mountain View, AR 72560 2011-08-12
1154556678 Michael Todd Bogatch Orthopaedic Surgery 4000 Linwood Drive, Suite I, Paragould, AR 72450 2009-05-28
1134238793 Gordon Troy Birk Orthopaedic Surgery 1900 Malvern Ave, Suite 301, Hot Springs, AR 71901-7759 2006-08-29

Competitor

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City LITTLE ROCK
Zip Code 72204

Improve Information

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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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