DR. DANIEL REYNOLDS (NPI# 1528100625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528100625 |
| Entity Type | Individual |
| Full Name | DR. DANIEL REYNOLDS |
| Credential | M.D. |
| Practice Address |
165 Natchez Trace Ave Suite 205 Bowling Green KY 42103-7940 |
| Mailing Address |
825 2nd Ave Suite C6 Bowling Green KY 42101-1786 |
| Practice Telephone | 2702822024 |
| Practice Fax Number | 2702822027 |
| Mailing Telephone | 2703931912 |
| Mailing Fax Number | 2703931913 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2016-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
44705 | KY | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
44705 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100170800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124686068 | Daniel Halsey Reynolds | Dentist | 2825 Willetta St Sw, Albany, OR 97321-3846 | 2019-06-05 |
| 1235659087 | Daniel Reynolds | Family Medicine | 1 Hospital Rd, Caller Box C-268, Cherokee, NC 28719-2871 | 2017-06-22 |
| 1861933061 | Daniel Brice Reynolds | Psychiatry & Neurology | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2017-03-20 |
| 1821465717 | Daniel Glenn Reynolds | Physical Therapy Assistant | 2701 Lake Alfred Rd, Winter Haven, FL 33881-1432 | 2015-08-26 |
| 1306252879 | Daniel Reynolds | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 | 2014-07-06 |
| 1396162772 | Daniel Reynolds | Emergency Medicine | 100 Bowman Dr, Voorhees, NJ 08043-9612 | 2014-03-24 |
| 1427299882 | Daniel J Reynolds | Registered Nurse | 106 S Perry St, Ste 4, Watkins Glen, NY 14891-1615 | 2009-03-16 |
| 1699985630 | Daniel Gene Reynolds | Physical Therapist | 9000 Wakarusa St, La Mesa, CA 91942-3307 | 2007-05-22 |
| 1699982025 | Daniel Reynolds | Physical Therapist | 8725 N Wickham Rd, Suite 301, Melbourne, FL 32940-5997 | 2007-05-16 |
| 1497841910 | Daniel F Reynolds | Family Medicine | 1001 Noble St, Fairbanks, AK 99701-4948 | 2006-10-04 |
| Street Address |
165 NATCHEZ TRACE AVE SUITE 205 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-7940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738482 | Craig A Beard | Orthopaedic Surgery | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2005-05-23 |
| 1750924676 | Rachel E Perkins | Nurse Practitioner | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2019-10-23 |
| 1124591318 | Tyler D Miller | Nurse Practitioner | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2019-01-10 |
| 1518449842 | Matthew J. Miller | Physical Therapist | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2018-09-04 |
| 1205292257 | Jonathan Reed Packer | Physical Therapist | 165 Natchez Trace Ave, Suite 200, Bowling Green, KY 42103-7940 | 2016-01-06 |
| 1033595947 | Brittany Leigh Sowders | Nurse Practitioner | 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103-7940 | 2015-08-03 |
| 1720482409 | Torie A Hatton | Nurse Practitioner | 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103-7940 | 2014-10-09 |
| 1558764928 | Rita Wilson | Nurse Practitioner | 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103-7940 | 2014-09-30 |
| 1669872362 | Amy L Hatcher | Nurse Practitioner | 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 | 2014-08-29 |
| 1417366402 | Rebecca Grayson | Physical Therapist | 165 Natchez Trace Ave, Ste 200, Bowling Green, KY 42103-7940 | 2014-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253107 | Anesthesia & Pain Specialists of Bowling Green Plc | Anesthesiology | 250 Park St, Bowling Green, KY 42101-1760 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689119570 | Commonwealth Integrity Pain Center Pllc | Anesthesiology | 3260 Blazer Pkwy Ste 102, Lexington, KY 40509-2116 | 2016-12-30 |
| 1447645403 | Vinayak Nadar | Anesthesiology | 1013 N Dupont Sq Ste A, Louisville, KY 40207-4612 | 2015-04-06 |
| 1114311073 | William Bickers | Anesthesiology | 530 S Jackson St Rm C2a01, Department of Anesthesiology and Perioperative Medicine, Louisville, KY 40202-1675 | 2015-03-27 |
| 1386088508 | Brooke Bauer | Anesthesiology | 2400 Eastpoint Pkwy Ste 410, Louisville, KY 40223-4154 | 2013-04-18 |
| 1811254105 | Thomas F Whealton | Anesthesiology | 1 Trillium Way Ste 111, Corbin, KY 40701-8727 | 2012-04-12 |
| 1962621656 | Magdalena Eva Kerschner | Anesthesiology | 906 Us Highway 68, Maysville, KY 41056-7100 | 2007-04-24 |
| 1952413015 | Heloise D Westbrook | Anesthesiology | 200 Clinic Dr Fl 6, Madisonville, KY 42431 | 2006-08-31 |
| 1255345955 | Leon B Briggs | Anesthesiology | 617 23rd St Ste 8a, Ashland, KY 41101-2845 | 2006-07-28 |
| 1003859885 | Ezekiel Akande | Anesthesiology | 355 Langdon St, Somerset, KY 42503-2792 | 2006-06-13 |
| 1750323366 | Central Kentucky Pain Professionals, Pllc | Anesthesiology | 2628 Wilhite Ct, Ste 101, Lexington, KY 40503-3327 | 2006-06-11 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
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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.