DR. STEPHEN BERNARD REZNICEK (NPI# 1801846704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801846704 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN BERNARD REZNICEK |
| Credential | MD |
| Practice Address |
1006 North H Street Aberdeen WA 98520 |
| Mailing Address |
Po Box 1787 Aberdeen WA 98520 |
| Practice Telephone | 3605376470 |
| Practice Fax Number | 3605376475 |
| Mailing Telephone | 2317792565 |
| Mailing Fax Number | 2317750744 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 062640 | MI | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | MC-0557 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 297815510 | 05 |
| Street Address |
1006 NORTH H STREET |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023361 | Richard W Felt | Internal Medicine | 1006 North H Street, Aberdeen, WA 98520 | 2005-06-15 |
| 1073879383 | Ben Goold | Family Medicine | 1006 North H Street, Aberdeen, WA 98520 | 2012-04-11 |
| 1497983779 | Geri C Wright | Speech-Language Pathologist | 1006 North H Street, Aberdeen, WA 98520 | 2009-06-25 |
| 1326217670 | Ghch Physician Services, LLC | Family Medicine | 1006 North H Street, Aberdeen, WA 98520 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| 1851654768 | Carlton Kom | Urology | 215 9th Ave Se, Aberdeen, SD 57401-6161 | 2012-06-18 |
| 1295822104 | Eric Samuel Leichter | Urology | 310 S Penn St Ste 203, Aberdeen, SD 57401-4553 | 2006-10-10 |
| 1962423418 | Charles Best | Urology | 1006 N H St, Aberdeen, WA 98520-2521 | 2006-07-21 |
| 1184681108 | Paul C Eckrich | Urology | 201 S Lloyd St, Suite E105, Aberdeen, SD 57401-4552 | 2006-04-26 |
| 1568428746 | Jerome A Eckrich Jr. | Urology | 201 S Lloyd St, Suite E105, Aberdeen, SD 57401-4552 | 2006-04-25 |
| 1427014646 | Paul Eckrich Md PC | Urology | 201 S Lloyd St, E105, Aberdeen, SD 57401-4552 | 2006-04-25 |
| 1679557391 | Melissa R Brown | Urology | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1023400041 | Pacific Northwest Urology Specialists, Pllc | Urology | 4545 Cordata Pkwy Ste 1a, Bellingham, WA 98226-7264 | 2015-02-27 |
| 1598182818 | Boston Medical Group- Washington, P.C. | Urology | 12301 N.e. 10th Place, Suite 101, Bellevue, WA 98005 | 2014-03-25 |
| 1033552823 | Carol Collins | Urology | 272 Health Sciences, 1959 Ne Pacific St, Seattle, WA 98195-7610 | 2013-04-10 |
| 1740523158 | Kacey Helena Provenzano | Urology | 780 Swift Blvd Ste 201, Richland, WA 99352 | 2013-04-03 |
| 1023366283 | William P Griggs | Urology | 2160 Dellesta Dr, Bellingham, WA 98226-7850 | 2012-08-20 |
| 1710242714 | Ralph Vernon Stagner | Urology | 3414 Horsehead Bay Dr. N.w., Gig Harbor, WA 98335 | 2012-07-06 |
| 1043579980 | Richard Kenneth Ohme | Urology | 3108 E Bay Dr Nw, Gig Harbor, WA 98335-7610 | 2012-05-13 |
| 1730447731 | Daniel Christian Sackman | Urology | 3124 South 19th St #c320, Tacoma, WA 98405-3011 | 2012-04-26 |
| 1144595299 | Philip Clark May | Urology | 11911 Ne 132nd St Ste 200, Kirkland, WA 98034 | 2012-03-21 |
| Find all providers with the same taxonomy | ||||
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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.