STEPHANIE L REYNOLDS (NPI# 1386095719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386095719 |
| Entity Type | Individual |
| Full Name | STEPHANIE L REYNOLDS |
| Credential | M.D. |
| Practice Address |
6845 E Us Highway 36 Ste 600 Avon IN 46123-8132 |
| Mailing Address |
250 N Shadeland Ave Ste 200 Indianapolis IN 46219-4959 |
| Practice Telephone | 3172724920 |
| Practice Fax Number | 3172724906 |
| Mailing Telephone | 3179623834 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01082298A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1520 N Senate Ave, Room 230, Indianapolis, IN 462022213 | 3179620857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083108591 | Stephanie Reynolds | Specialist/Technologist | 1444 E Saint Catherine Ave, Phoenix, AZ 85042-4464 | 2018-06-18 |
| 1336389972 | Stephanie R. Reynolds | Speech-Language Pathologist | 1410 John St, Wenatchee, WA 98801-6212 | 2009-02-23 |
| 1023597192 | Stephanie Marie Reynolds | Dental Hygienist | 2 E 22nd St Ste 201, Lombard, IL 60148-6105 | 2018-08-09 |
| 1740768605 | Stephanie Kaye Reynolds | Optometrist | 2561 Jacksboro Pike, Jacksboro, TN 37757-4847 | 2018-08-02 |
| 1154779288 | Stephanie Michelle Reynolds | Counselor | 525 Nw Lake Whitney Pl, Port Saint Lucie, FL 34986-1605 | 2016-05-31 |
| 1992107338 | Stephanie Reynolds | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2014-09-17 |
| 1407148059 | Stephanie Nicole Reynolds | Occupational Therapist | 4600 E Shea Blvd Ste 101, Phoenix, AZ 85028-6031 | 2011-05-13 |
| 1194902692 | Stephanie Antonia Reynolds | Nurse Practitioner | 1250 Waters Pl, Tower 1, Suite 602, Bronx, NY 10461-2720 | 2008-01-28 |
| 1750568432 | Stephanie Reynolds | Social Worker | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2008-01-25 |
| 1164611539 | Stephanie Jaree Reynolds | Counselor | 720 N Dewey Ave, Oklahoma City, OK 73102-1214 | 2007-10-22 |
| Street Address |
6845 E US HIGHWAY 36 STE 600 |
| City | AVON |
| State | IN |
| Zip Code | 46123-8132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184263600 | Taylor Danielle Carlsgaard | Nurse Practitioner | 6845 E Us Highway 36 Ste 600, Avon, IN 46123-8132 | 2020-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578006896 | Richard Salmon | Family Medicine | 5 Hawks Rdg, Avon, CT 06001-4417 | 2016-11-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1992169700 | Meredith Marie Larson | Family Medicine | 301 Satori Pkwy Ste 200, Avon, IN 46123-6407 | 2016-04-07 |
| 1831486547 | Michael D Buckwalter | Family Medicine | 6845 East Us Highway 36, Ste 600, Avon, IN 46123-8123 | 2011-07-01 |
| 1518096593 | University Primary Care Practices, Inc. | Family Medicine | 1480 Center Rd Ste A, Avon, OH 44011-1239 | 2007-03-05 |
| 1508959487 | Andrew M Cougill | Family Medicine | 1115 N. Ronald Reagan Parkway, Suite 100, Avon, IN 46123-6913 | 2006-10-02 |
| 1790893832 | David Michael Fesak | Family Medicine | 1250 Bur Oak Ct, Avon, IN 46123-9476 | 2006-08-28 |
| 1073526919 | Robert A Rothenberg | Family Medicine | 21 Arts Center Court, Avon, CT 06001-3680 | 2006-08-14 |
| 1669407409 | Suzanne R. Cole | Family Medicine | 8d Canal Ct, Avon, CT 06001-3747 | 2006-07-11 |
| 1497783963 | Rebecca J Hafner-fogarty | Family Medicine | 33491 135th Ave, Avon, MN 56310-9617 | 2006-06-30 |
| Find all providers in AVON | ||||
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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.