DR. GREGORY REYNOLDS (NPI# 1437288404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437288404 |
Entity Type | Individual |
Full Name | DR. GREGORY REYNOLDS |
Credential | MD |
Practice Address |
1450 Matthews Township Pkwy Suite 200 Matthews NC 28105-2387 |
Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
Practice Telephone | 7042461846 |
Practice Fax Number | 7042461462 |
Mailing Telephone | 7042461846 |
Mailing Fax Number | 7042461462 |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-10-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 2007-00402 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5907618 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679183008 | Gregory Lee Reynolds Jr. | Pharmacist | 16750 South Townsend, Pharmacy, Montrose, CO 81401 | 2020-07-31 |
1760750921 | Gregory Homan Reynolds | Counselor | 40a Main St, Westhampton Beach, NY 11978-2673 | 2011-12-02 |
1134363351 | Gregory Shaun Reynolds | Chiropractor | 826 E 12300 S Ste 4b, Draper, UT 84020-8276 | 2009-05-01 |
1376700864 | Gregory Aaron Reynolds | Internal Medicine | 341 Jane Briggs Ave, Lexington, KY 40509-4502 | 2008-05-21 |
1790158848 | Gregory Arno Reynolds | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2015-11-10 |
1053587295 | Gregory Evan Reynolds | Counselor | 131 Market St, Johnstown, PA 15901-1628 | 2008-05-07 |
1508060419 | Gregory L. Reynolds | Speech-Language Pathologist | 460 W 34th St, 11th Floor, New York, NY 10001-2320 | 2007-06-13 |
1164521522 | Gregory Allen Reynolds | Physician Assistant | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2006-09-22 |
1740205871 | Gregory Reynolds | Nurse Anesthetist, Certified Registered | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2006-07-12 |
Street Address |
1450 MATTHEWS TOWNSHIP PKWY SUITE 200 |
City | MATTHEWS |
State | NC |
Zip Code | 28105-2387 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649273673 | Todd M Kopczynski | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 300, Matthews, NC 28105-2387 | 2005-05-23 |
1508393927 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy, Suite 320, Matthews, NC 28105-2387 | 2017-05-16 |
1932631850 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy, Suite 355, Matthews, NC 28105-2387 | 2017-03-30 |
1033566526 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 410, Matthews, NC 28105-2387 | 2016-05-16 |
1134506348 | Novant Health Matthews Medical Center | General Acute Care Hospital | 1450 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-2387 | 2015-04-27 |
1053705418 | Suzanne Lake | Speech-Language Pathologist | 1450 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-2387 | 2015-03-24 |
1386032647 | Leah Miles Alexander | Physician Assistant | 1450 Matthews Township Pkwy, Suite 250, Matthews, NC 28105-2387 | 2015-01-08 |
1225426976 | Novant Health Matthews Medical Center | General Acute Care Hospital | 1450 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-2387 | 2015-01-05 |
1063753325 | Novant Medical Group Inc | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 300, Matthews, NC 28105-2387 | 2013-03-12 |
1487906590 | Presbyterian Medical Care Corp | Emergency Medicine | 1450 Matthews Township Pkwy, Suite 170, Matthews, NC 28105-2387 | 2012-10-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
Find all providers in zip 28105 |
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 |
---|---|---|---|---|
1730313297 | Jillian M Johnston | Obstetrics & Gynecology | 1450 Matthews Township Parkway, Suite 300, Suite 300, Matthews, NC 28105-5332 | 2009-05-12 |
1538332077 | Latoya Nicole Walker | Obstetrics & Gynecology | 1450 Matthews Township Pkwy Ste 300, Matthews, NC 28105-5332 | 2008-04-04 |
1649273673 | Todd M Kopczynski | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 300, Matthews, NC 28105-2387 | 2005-05-23 |
1366837098 | Alexandra Boster | Obstetrics & Gynecology | 1450 Matthews Township Pkwy Ste 200, Matthews, NC 28105-2388 | 2015-03-31 |
1063753325 | Novant Medical Group Inc | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 300, Matthews, NC 28105-2387 | 2013-03-12 |
1588950729 | Ebony Nicole Maddox Parson | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 200, Matthews, NC 28105-2387 | 2011-06-27 |
1639480569 | Peter S Salib | Obstetrics & Gynecology | 1450 Matthews Township Parkway, Suite 300, Matthews, NC 28105-5332 | 2010-06-25 |
1992833958 | Philomena Salvemini | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 300, Matthews, NC 28105-2387 | 2007-03-01 |
1326176561 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Ste 300, Matthews, NC 28105-5332 | 2007-03-01 |
1043200264 | Michael Francis Sweeney | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 200, Matthews, NC 28105-2387 | 2005-10-27 |
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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.