DR. KILEY JOSEPH REYNOLDS (NPI# 1649472879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649472879 |
| Entity Type | Individual |
| Full Name | DR. KILEY JOSEPH REYNOLDS |
| Credential | D.O. |
| Practice Address |
8200 Sw 117th Ave Suite 312 Miami FL 33183-3856 |
| Practice Telephone | 3055957246 |
| Practice Fax Number | 3055957242 |
| Mailing Telephone | 3055957246 |
| Mailing Fax Number | 3055957242 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2012-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | OS10004 | FL | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
OS10004 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 159466033 | 05 | |
| GA | CIGNA | 7835293 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487006771 | Kiley Reynolds | Massage Therapist | 308 Se H St, Grants Pass, OR 97526-3041 | 2016-07-11 |
| Street Address |
8200 SW 117TH AVE SUITE 312 |
| City | MIAMI |
| State | FL |
| Zip Code | 33183-3856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811985708 | Roberto Hernando | Psychiatry & Neurology | 8200 Sw 117th Ave, Suite 202, Miami, FL 33183-3856 | 2005-10-13 |
| 1548898646 | Sg Primary Care Md, LLC | Internal Medicine | 8200 Sw 117th Ave, Miami, FL 33183-3856 | 2020-04-01 |
| 1598252942 | Marcela Cucalon | Nurse Practitioner | 8200 Sw 117th Ave, Ste 104, Miami, FL 33183 | 2018-04-20 |
| 1487150538 | Birth Etc. Inc. | Advanced Practice Midwife | 8200 Sw 117th Ave, Miami, FL 33183-3856 | 2018-04-05 |
| 1407398969 | American Pediatric Dental Kendall, Inc. | Dentist | 8200 Sw 117th Ave, Ste. 204, Miami, FL 33183-3856 | 2016-11-14 |
| 1902253461 | Naviuska Chirino | Nurse Practitioner | 8200 Sw 117th Ave, Miami, FL 33183-3856 | 2016-05-15 |
| 1649636812 | Oscar L Castro Dds Pa | Dentist | 8200 Sw 117th Ave, Suite 216, Miami, FL 33183-3856 | 2016-01-04 |
| 1326425828 | Lc Health Management LLC | Clinic/Center | 8200 Sw 117th Ave, Suite 112, Miami, FL 33183-3856 | 2015-05-04 |
| 1518355718 | Pws Medical Pa | Internal Medicine | 8200 Sw 117th Ave, #300, Miami, FL 33183-3856 | 2014-12-23 |
| 1093113235 | Pws Medical P.a. | Internal Medicine | 8200 Sw 117th Ave, #300, Miami, FL 33183-3856 | 2014-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490026 | Katya Barbara Machado | Behavior Technician | 6500 Kendall Lake Dr, Apt 101, Miami, FL 33183 | 2020-09-03 |
| 1922631969 | Kety Garcia Gonzalez | Nurse Practitioner | 13327 Sw 61st Ter, Miami, FL 33183 | 2020-02-18 |
| 1063066850 | Jose Roberto Santamaria Castro | Specialist/Technologist, Other | 5914 Sw 133rd Ct, Miami, FL 33183 | 2019-07-30 |
| 1821655010 | Maidelyn Arencibia | Behavior Technician | 6416sw131st Path Apt 1706, Miami, FL 33183 | 2019-05-22 |
| 1386111672 | Gregory Parker Fisk | Pharmacist | 14030 Sw 74 St, Miami, FL 33183 | 2018-10-25 |
| 1861979106 | Jacqueline Porras | Nurse Practitioner | 8200 Sw 117th Ave Ste 316, Miami, FL 33183 | 2018-07-19 |
| 1447750591 | My Own Therapist Pllc | Clinic/Center | 14202 Sw 62nd St, Miami, FL 33183 | 2018-02-15 |
| 1316455744 | Maibel D Gomez Del Vallin | Behavior Technician | 8730 Sw 133rd Avenue Rd Apt 317, Miami, FL 33183 | 2018-01-19 |
| 1093225906 | Martha D Gonzalez Griego | Behavior Technician | 8500 Sw 133rd Avenue Rd Apt 321, Miami, FL 33183 | 2017-10-05 |
| 1770007353 | Dipsy Trejo Leal | Behavioral Analyst | 13026 Sw 68 Ln, Miami, FL 33183 | 2017-07-26 |
| Find all providers in zip 33183 | ||||
| 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 |
|---|---|---|---|---|
| 1124412705 | Pain Reliever Pa | Anesthesiology | 7900 Nw 27th Ave Ste F12, Miami, FL 33147-4909 | 2015-03-23 |
| 1083804579 | Mark Anthony Quintero | Anesthesiology | 3659 S Miami Ave Ste 5003, Miami, FL 33133-4231 | 2007-07-31 |
| 1205979515 | Maximiliano Velasco | Anesthesiology | 10095 N Kendall Dr Ste 103, Miami, FL 33176 | 2007-02-15 |
| 1699700187 | Padmaja Yatham | Anesthesiology | 7000 Sw 97th Ave Ste 214, Miami, FL 33173-1492 | 2006-07-12 |
| 1821044793 | Anna Sottile | Anesthesiology | 1800 Sw 1st Ave Ste 603, Miami, FL 33129-1181 | 2006-05-25 |
| 1194776773 | Vivian Hernandez-popp | Anesthesiology | 8740 N Kendall Dr Ste 114, Miami, FL 33176-2209 | 2006-05-16 |
| 1033178785 | David A Breznick | Anesthesiology | 3663 S Miami Av, Mercy Hospital, Miami, FL 33133-4253 | 2006-03-21 |
| 1063490852 | Abel Murillo | Anesthesiology | 1300 Sw 27th Ave, Miami, FL 33145-1233 | 2006-01-03 |
| 1649254756 | Interventional Rehabilitation of South Florida, Inc. | Anesthesiology | 8755 Sw 94th St, #300, Miami, FL 33176-2407 | 2005-12-01 |
| 1114916608 | Juan Carlos Ojea | Anesthesiology | 7990 Coral Way, Miami, FL 33155-6550 | 2005-10-17 |
| Find all providers in MIAMI | ||||
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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.