DR. FREDDIE REYNOLDS (NPI# 1417932351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417932351 |
| Entity Type | Individual |
| Full Name | DR. FREDDIE REYNOLDS |
| Credential | MD |
| Practice Address |
3020 Sunset Blvd Ste 105 West Columbia SC 29169-3494 |
| Mailing Address |
811 S Lake Dr Lexington SC 29072-3715 |
| Practice Telephone | 8033593236 |
| Practice Fax Number | 8033595233 |
| Mailing Telephone | 8033593236 |
| Mailing Fax Number | 8033595233 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2016-02-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 111926 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3626 | 05 | |
| SC | BCBS OF SC | 542091608 | 01 |
| Street Address |
3020 SUNSET BLVD STE 105 |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013324128 | Midlands Exams and Drug Screening, Inc | Clinic/Center | 3020 Sunset Blvd, Suite 102, West Columbia, SC 29169-3493 | 2014-07-21 |
| 1760633960 | The Medical Place Family Practice, P.a. | Clinic/Center | 3020 Sunset Blvd, Suite 101, West Columbia, SC 29169-3493 | 2008-10-06 |
| 1356549505 | Columbia Plastic Surgery, PC | Specialist | 3020 Sunset Blvd, Suite 100, West Columbia, SC 29169-3493 | 2007-07-10 |
| 1871504985 | Sleepmed Inc. | Clinic/Center | 3020 Sunset Blvd, Suite 103 and 104, West Columbia, SC 29169-3424 | 2006-08-11 |
| 1912915299 | Philip A. Levin | Obstetrics & Gynecology | 3020 Sunset Blvd, Suite 105, West Columbia, SC 29169-3494 | 2006-08-03 |
| 1588633275 | Midlands Primary Care Inc | Internal Medicine | 3020 Sunset Blvd, Suite 106, West Columbia, SC 29169-3424 | 2006-03-15 |
| 1508837345 | John Doliver Newkirk | Specialist | 3020 Sunset Blvd, Suite 100, West Columbia, SC 29169 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699062380 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 110 E Medical Lane, Ste 220, West Columbia, SC 29169 | 2011-07-01 |
| 1861677882 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 728 Sunset Blvd, Suite 103, West Columbia, SC 29169 | 2008-01-09 |
| 1912919770 | Frederick B Thompson | Obstetrics & Gynecology | 222 E. Medical Lane, Suite 300, West Columbia, SC 29169-4837 | 2006-08-12 |
| 1255359725 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 222 East Medical Lane, Ste 300, West Columbia, SC 29169 | 2006-07-17 |
| 1265401772 | Charles F Shipley IIi | Obstetrics & Gynecology | 2728 Sunset Blvd., Suite 106, West Columbia, SC 29169 | 2006-03-16 |
| 1730157058 | Andrea M Pezzella | Obstetrics & Gynecology | 115 Midlands Ct, West Columbia, SC 29169-3456 | 2006-03-11 |
| 1316918709 | Julie A Reed | Obstetrics & Gynecology | 146 E Hospital Dr Ste 240, West Columbia, SC 29169-4800 | 2006-02-01 |
| 1497735757 | Thomas Patrick Giudice | Obstetrics & Gynecology | 2728 Sunset Blvd Ste 201, West Columbia, SC 29169-4837 | 2006-01-20 |
| 1528040375 | Gregory E. Lyman | Obstetrics & Gynecology | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2005-11-17 |
| 1932707056 | Lexington Health Inc | Obstetrics & Gynecology | 2728 Sunset Blvd Ste 201, West Columbia, SC 29169-4837 | 2020-10-12 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.