SARA JEAN REYNOLDS (NPI# 1699713784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699713784 |
| Entity Type | Individual |
| Full Name | SARA JEAN REYNOLDS |
| Credential | MD |
| Practice Address |
100 Hospital Dr Bennington VT 05201 |
| Mailing Address |
100 Hospital Dr Bennington VT 05201-5004 |
| Practice Telephone | 8024475648 |
| Practice Fax Number | 8024475609 |
| Mailing Telephone | 8024475648 |
| Mailing Fax Number | 8024475609 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 42-0008018 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | VERMONT BLUE CROSS BLUE S | 2112406 | 01 |
| VT | 1003556 | 05 | |
| NY | 01342901 | 05 | |
| VT | LICENSE | 042.0008018 | 01 |
| MOHAWK VALLEY HEALTH PLAN | 11415 | 01 | |
| VT | AETNA | 5082448 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285048488 | Sara Brolund Reynolds | Physical Therapist | 780 Briarcliff Ave, Oak Ridge, TN 37830-8756 | 2014-06-16 |
| 1487910576 | Sara E. Reynolds | Registered Nurse | 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201 | 2012-04-03 |
| 1447536362 | Sara C. Reynolds | Nurse Practitioner | 9470 Healthpark Cir, Fort Myers, FL 33908-3600 | 2011-10-24 |
| 1144462037 | Sara Ann Reynolds | Nurse Practitioner | 500 15th Ave S, Great Falls, MT 59405 | 2009-03-24 |
| 1811090020 | Sara D Reynolds | Obstetrics & Gynecology | 2301 Holmes St, Kansas City, MO 64108-2640 | 2006-09-06 |
| Street Address |
100 HOSPITAL DR |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114530029 | Kelsey Buran | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-08-29 |
| 1982212478 | Daniel Hennessey | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-07-21 |
| 1306462106 | Daryl Silva | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-06-18 |
| 1720625833 | William B Smith | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5013 | 2019-12-09 |
| 1528613155 | Christine Lynne Burke | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-08-09 |
| 1508427980 | Nathalie Santos | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-26 |
| 1588223002 | Gon Saman | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-08 |
| 1891276374 | Tracie Ann Crawford | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-08-23 |
| 1922585231 | Mark Epler | Physical Therapist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-07-20 |
| 1619453958 | Mary Campbell | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548720063 | Brooke Micaela Mcbride | Internal Medicine | 140 Hospital Dr Ste 301, Bennington, VT 05201-5018 | 2019-03-21 |
| 1730165234 | Richard A Wiseman | Internal Medicine | 140 Hospital Dr Ste 108, Bennington, VT 05201-5010 | 2005-12-16 |
| 1568604403 | Southwestern Vermont Medical Center Inc | Internal Medicine | 140 Hospital Dr, Suite 217, Bennington, VT 05201-5009 | 2009-03-24 |
| 1750551412 | James George Poole | Internal Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2008-03-08 |
| 1912002676 | Marisa Friscia Md | Internal Medicine | 194 North St, Bennington, VT 05201-1874 | 2006-09-14 |
| 1770694663 | Carol Mahon Salazar | Internal Medicine | 325 North St, Va Clinic, Bennington, VT 05201-1858 | 2006-08-31 |
| 1497779318 | Nancy Schuster | Internal Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-07-26 |
| 1780603647 | Steven D Anisman | Internal Medicine | 140 Hospital Dr, Suite 312, Bennington, VT 05201-5009 | 2006-07-19 |
| 1851323554 | Richard T Burtis | Internal Medicine | 339 Dewey St, Bennington, VT 05201-2253 | 2006-07-06 |
| 1326074691 | David M Sischy | Internal Medicine | 140 Hospital Dr, Bennington, VT 05201-5009 | 2006-06-25 |
| Find all providers in BENNINGTON | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
Please comment or provide details below to improve the information on SARA JEAN REYNOLDS.
| 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.