DR. MICHAEL D REYNOLDS


Address: 12266 Depaul Dr., Suite 305, Bridgeton, MO 63044-2516
Phone: 3147700991

DR. MICHAEL D REYNOLDS (NPI# 1689686065) 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) 1689686065
Entity Type Individual
Full Name DR. MICHAEL D REYNOLDS
Credential MD
Practice Address 12266 Depaul Dr.
Suite 305
Bridgeton
MO 63044-2516
Mailing Address Po Box 955534
Saint Louis
MO 63195-5534
Practice Telephone 3147700991
Practice Fax Number 3147700692
Enumeration Date 2006-08-13
Last Update Date 2020-10-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery R1J28 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 202545612 05
MO RAILROAD MEDICARE 770001238 01

Other Providers MICHAEL REYNOLDS

NPI Name Taxonomy Address Enumeration
1164035655 Michael Justin Reynolds Home Health Aide 3926 Southern Ave Se, 101, Washington, DC 20020-2002 2020-08-25
1578105243 Michael L Reynolds Dentist 7742 Herschel Ave Ste I, La Jolla, CA 92037-4444 2019-10-14
1568769743 Michael David Reynolds Rehabilitation Practitioner 6486 Violet Breeze Way, Las Vegas, NV 89142-0997 2011-02-23
1881913150 Michael Henry Reynolds II Social Worker 32790 State Highway 99 S, Stonewall, OK 74871-6128 2010-05-25
1164740767 Michael W Reynolds Social Worker 108 Lincoln Rd Nw, Lake Placid, FL 33852-9728 2010-05-07
1942534714 Michael P Reynolds Occupational Therapy Assistant 2457 N 81st St, Wauwatosa, WI 53213-1012 2009-09-28
1861654626 Michael Thomas Reynolds Dentist 625 E. Nicollet Blvd, Suite 340, Burnsville, MN 55337 2008-07-01
1457319543 Michael J Reynolds Anesthesiology 4821 Montgomery Ln, 801, Bethesda, MD 20814-3471 2006-05-01
1669436770 Michael Bryan Reynolds Family Medicine 3480 Deltona Blvd, Spring Hill, FL 34606-2917 2006-04-14
1265418560 Michael Connell Reynolds Counselor 251 Country Club Dr, Eden, NC 27288-3554 2005-12-19

Office Location

Street Address 12266 DEPAUL DR.
SUITE 305
City BRIDGETON
State MO
Zip Code 63044-2516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629012042 Thomas B. Charles Surgery 12266 Depaul Dr., Suite 305, Bridgeton, MO 63044-2516 2006-06-15
1336456466 William Frederick Kelly Physical Therapist 12266 Depaul Dr., Suite 115, Bridgeton, MO 63044 2010-09-10
1437254869 Vascular Institute At Depaul Radiology 12266 Depaul Dr., Suite 315, Bridgeton, MO 63044 2006-09-13
1336252204 Tauqir X Ahmed Surgery 12266 Depaul Dr., Suite 305, Bridgeton, MO 63044-2516 2006-08-16
1710999115 Surgical Arts of St Louis,ltd Surgery 12266 Depaul Dr., Suite 305, Bridgeton, MO 63044-2516 2006-08-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073150017 Zoe Marie Wadsworth Nurse Practitioner 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 2019-12-10
1609412451 Beyond Better, Best Home Health Care Services, Limited Liability Corpo In Home Supportive Care 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 2019-11-26
1275189078 Delicate Angels Home Health LLC Home Health 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 2019-08-16
1588210082 Nicholas Huber Physical Therapist 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 2019-08-12
1124688858 Michelle Bassett Registered Nurse 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 2019-06-14
1336703883 Elena A Barrow Nurse Practitioner 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 2019-04-30
1487123105 Laura N Steiner Registered Nurse Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 2018-11-26
1205310950 Danielle Mathis Nurse Practitioner 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 2018-09-19
1588163570 Thoughts Out Loud Counseling, LLC Social Worker 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 2018-02-06
1912411430 Breanna Victoria Hayes Counselor 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 2017-11-20
Find all providers in zip 63044

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629012042 Thomas B. Charles Surgery 12266 Depaul Dr., Suite 305, Bridgeton, MO 63044-2516 2006-06-15
1770537326 Imran Ul Haq Surgery 10 Magnolia Avenue, Suite E, Bridgeton, NJ 08302 2006-05-19
1932150638 Richard H. Roettger Surgery 12266 De Paul Dr Ste 305, Bridgeton, MO 63044 2006-05-15
1619953064 Darrell Martin Pitt Surgery 3444 Mckelvey Rd, Bridgeton, MO 63044-2525 2005-12-19
1912905134 Marco A Castaneda Surgery 12255 Depaul Drive, #675n, Bridgeton, MO 63044 2005-07-12
1881079994 Arch Bariatrics LLC Surgery 3394 Mckelvey Rd, Suite 115, Bridgeton, MO 63044-2531 2015-07-30
1164804035 Kyle Christensen Surgery 12266 De Paul Dr Ste 305, Bridgeton, MO 63044-2514 2015-06-26
1619231636 Betsy L Krebs Surgery 12266 De Paul Dr Ste 305, Bridgeton, MO 63044-2514 2012-06-25
1427375450 Andrea Maria Zelisko Schwoerer Surgery 12266 Depaul Drive, Suite 210, Bridgeton, MO 63044 2010-04-30
1518137603 Sae R. Choi Surgery 12121 Saint Charles Rock Rd, Bridgeton, MO 63044-2602 2008-03-05
Find all providers in BRIDGETON

Competitor

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City BRIDGETON
Zip Code 63044

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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