MR. WILLIAM GARRETT REYNOLDS


Address: 1301 Jones St, Apt 515, Omaha, NE 68102-3242
Phone: 2082710135

MR. WILLIAM GARRETT REYNOLDS (NPI# 1649610007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649610007
Entity Type Individual
Full Name MR. WILLIAM GARRETT REYNOLDS
Credential P.A.
Practice Address 1301 Jones St
Apt 515
Omaha
NE 68102-3242
Practice Telephone 2082710135
Mailing Telephone 2082710135
Enumeration Date 2013-07-01
Last Update Date 2017-01-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1956 NE Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant PA9107240 FL Physician Assistants & Advanced Practice Nursing Providers

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1306910104 William Albert Reynolds IIi Dentist 5304 Koontz Dr, Cross Lanes, WV 25313 2006-11-20
1821187063 William Roy Reynolds Optometrist 5166 Sunset Blvd, Suite J, Lexington, SC 29072-9258 2006-10-12
1154416006 William Robert Reynolds Specialist 1531 E Bradford Pkwy Ste 215, Springfield, MO 65804-6539 2006-10-04
1235105974 William Roger Reynolds Dentist 809 S Indiana Ave, Sellersburg, IN 47172-1613 2006-02-23
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Office Location

Street Address 1301 JONES ST
APT 515
City OMAHA
State NE
Zip Code 68102-3242

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518580042 Niranzena Panneer Selvam Dentist 2109 Cuming Street, Omaha, NE 68102 2020-05-19
1912312323 Stephani Jo Dale Dentist 2901 Cuming Street, Omaha, NE 68102 2014-06-24
1578736864 Nebraska Urban Indian Health Coalition Community/Behavioral Health 2240 Landon Court, Omaha, NE 68102 2008-04-08
1609939826 Alana Louayne Decker Registered Nurse 1490 No 16th St, Omaha, NE 68102 2006-12-18
1831203645 Nicholas Joseph Battafarano Psychiatry & Neurology 1490 N 16th St, Omaha, NE 68102 2006-08-18
1831198902 Lori Ann Buckley Occupational Therapist 1219 Leavenworth St, Omaha, NE 68102 2005-07-20
1760019129 Catherine Nicole Cloetta Student in an Organized Health Care Education/Training Program Creighton University School of Dentistry, 2109 Cuming St., Omaha, NE 68102 2020-03-25
1841793189 Molly Ann Trevathan Specialist/Technologist 701 Florence Blvd, Omaha, NE 68102 2018-03-13
1265942106 Ashlyn Madden Eisenbrown Acupuncturist 1219 Leavenworth St, Omaha, NE 68102 2017-10-05
1417342676 Natural Therapy LLC Home Health 1219 Leavenworth St, Omaha, NE 68102 2015-04-03
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609475375 Patrick Donald Heavey Physician Assistant 4660 Pine St, Omaha, NE 68106-2520 2020-10-22
1780297440 Tayler Marie Llewellyn Physician Assistant 17241 Oak Dr, Omaha, NE 68130-2428 2020-08-24
1154933992 Alexandria Rae Mctaggart Physician Assistant 5024 S 130th St, Omaha, NE 68137-1820 2020-08-22
1124651443 Kathryn A Kesti Physician Assistant 4242 Farnam St Ste 500, Omaha, NE 68131-2850 2020-02-14
1760014757 Timothy Shew Physician Assistant 7500 Mercy Rd Ste 1300, Omaha, NE 68124-2319 2020-02-07
1083264303 Alicia K Clough Physician Assistant 15236 Westchester Dr, Omaha, NE 68154-2060 2019-09-18
1669935565 Taylor Elizabeth Hepp Physician Assistant 8005 Farnam Dr Ste 204, Omaha, NE 68114-3426 2019-04-09
1851895924 Mohammed Saeb Shakir Physician Assistant 7306 Ontario St, Omaha, NE 68124-3561 2018-03-22
1386162790 Anna Jean Sorrell Physician Assistant Emile St & S 42nd St, Omaha, NE 68198-4742 2017-09-06
1659804292 Kaitlyn Ann Boosalis Physician Assistant 4331 Mayberry St, Omaha, NE 68105-1711 2017-04-11
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Competitor

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City OMAHA
Zip Code 68102

Improve Information

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Dataset Information

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.

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