BRUCE N. REYNOLDS, MD, LLC (NPI# 1376604140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376604140 |
| Entity Type | Organization |
| Organization Name | BRUCE N. REYNOLDS, MD, LLC |
| Practice Address |
280 Maple Street Ashland OR 97520-1552 |
| Mailing Address |
1208 Beall Lane Central Point OR 97502-1572 |
| Practice Telephone | 5416645151 |
| Practice Fax Number | 5416645155 |
| Mailing Telephone | 5416645151 |
| Mailing Fax Number | 5416645155 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRUCE N REYNOLDS (PROVIDER) |
| Authorized Official Telephone | 5416645151 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD19568 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
280 MAPLE STREET |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285617654 | Daniel Thomas Erchul | Nurse Anesthetist, Certified Registered | 280 Maple Street, Ashland, OR 97520 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093937468 | Margo S Herron | Plastic Surgery | 638 N Main St Ste C, Ashland, OR 97520-1887 | 2007-05-03 |
| 1538146691 | Martin Alan Kassan | Plastic Surgery | 1536 Winchester Ave, Suite 304, Ashland, KY 41101-7662 | 2005-12-29 |
| 1073893822 | Peter Anthony Andolina | Plastic Surgery | 617 23rd St Ste 105, Ashland, KY 41101-2890 | 2011-08-25 |
| 1518258847 | Elizabeth Institute, LLC | Plastic Surgery | 638 N Main St, Suite C, Ashland, OR 97520-1887 | 2011-04-20 |
| 1720397409 | Kings Daughters Medical Specialties Inc | Plastic Surgery | 617 23rd St Ste 105, Ashland, KY 41101-2890 | 2010-09-29 |
| 1194904490 | Ashland Plastic Surgery Inc Psc | Plastic Surgery | 617 23rd St, Ashland, KY 41101-2880 | 2007-11-02 |
| 1861580946 | William B Rogers IIi | Plastic Surgery | 617 23rd St Ste 105, Ashland, KY 41101-2890 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437573185 | Portland Plastic Surgery Group, LLC | Plastic Surgery | 1200 Nw Naito Pkwy Ste 310, Portland, OR 97209-2829 | 2014-02-14 |
| 1811255250 | Richard Sean Mcnally | Plastic Surgery | 5050 Ne Hoyt St Ste 422, Portland, OR 97213 | 2012-04-23 |
| 1073891172 | Amanda K Nelson | Plastic Surgery | 777 Sw Mill View Way Ste 100, Bend, OR 97702 | 2011-07-25 |
| 1811284433 | Ivan Nicolas Vial | Plastic Surgery | 2450 Ne Mary Rose Pl Ste 201, Bend, OR 97701-7133 | 2011-07-03 |
| 1942507819 | James A Kilgore Md, PC | Plastic Surgery | 19250 Sw 65th Ave Ste 365, Tualatin, OR 97062-7747 | 2011-02-11 |
| 1710140215 | Shiliang Chang | Plastic Surgery | 3303 Sw Bond Ave Ste 5, Portland, OR 97239-4501 | 2008-07-03 |
| 1770742207 | Christopher Stephen Zarella | Plastic Surgery | 501 N Graham St Ste 300, Portland, OR 97227-2008 | 2008-06-09 |
| 1841475803 | Northwest Cosmetic Surgery, LLC | Plastic Surgery | 777 Sw Mill View Way, Suite 100, Bend, OR 97702-1140 | 2008-01-08 |
| 1871623678 | Shane Christopher Kim | Plastic Surgery | 1130 Nw 22nd Ave Ste 420, Portland, OR 97210-2995 | 2007-03-07 |
| 1770624371 | Gary Lyle Gallagher | Plastic Surgery | 777 Sw Mill View Way Ste 250, Bend, OR 97702-1140 | 2007-02-08 |
| Find all providers with the same taxonomy | ||||
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| 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.