DR. MATTHEW RYAN REYNOLDS (NPI# 1811150394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811150394 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW RYAN REYNOLDS |
| Credential | M.D., PH.D. |
| Practice Address |
2160 S 1st Ave Maywood IL 60153-3328 |
| Mailing Address |
4910 W Pine Blvd Apt 408 Saint Louis MO 63108-1976 |
| Practice Telephone | 7082169000 |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2019-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 036143220 | IL | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 2008014674 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235059 | Matthew Reynolds | Registered Nurse | 1122 Hallamwood Trl S, Lakeland, FL 33813-1818 | 2019-09-30 |
| 1578129193 | Matthew Reynolds | Chiropractor | 10160 W 50th Ave Unit 4, Wheat Ridge, CO 80033-2339 | 2019-05-20 |
| 1760762629 | Matthew Reynolds | Surgery | 11200 Seminole Blvd Ste 210, Largo, FL 33778-3239 | 2011-08-24 |
| 1366947897 | Matthew Reynolds | Family Medicine | 2001 Vail Ave, Charlotte, NC 28207-1248 | 2018-03-27 |
| 1639698947 | Matthew David Reynolds | Registered Nurse | 3100 Summit St Fl 2, Oakland, CA 94609 | 2017-09-18 |
| 1760855639 | Matthew Reynolds | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2015-11-02 |
| 1871984070 | Matthew Reynolds | Physical Therapist | 145 Hazard Ave, Enfield, CT 06082-4521 | 2015-02-10 |
| 1366700122 | Matthew Thomas Reynolds | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2012-04-30 |
| 1063739803 | Matthew Lee Reynolds | Family Medicine | 1313 Red Riv Ste 100, Austin, TX 78701-1923 | 2010-05-03 |
| 1386872430 | Matthew R. Reynolds | Anesthesiology | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2009-06-29 |
| Street Address |
2160 S 1ST AVE |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525489 | Michael Jm Raffin | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2005-06-01 |
| 1366049900 | Kenneth Bernard Jordan | Psychiatry & Neurology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-10-06 |
| 1124634712 | Abhilasha Nitin Borkar | Pathology | 2160 S 1st Ave, Maywood, IL 60153 | 2020-09-18 |
| 1306450325 | Linda Ippolito | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339135 | Meghan Henry | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339911 | Victoria Leah Drozd | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-31 |
| 1396357588 | Madison Schaefer | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1134731375 | Otanthia S Williams-brady | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1205454287 | Janet Nickels | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-07-07 |
| 1417574054 | Kathryn Clemans | Nurse Anesthetist, Certified Registered | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565858 | Isaac Bing-yi Ng | Neurological Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-30 |
| 1104387166 | Ronak H Jani | Neurological Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-30 |
| 1992265383 | Nathan Christopher Pecoraro | Neurological Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-21 |
| 1215496443 | John Ta-hsiang Tsiang | Neurological Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-18 |
| 1417451121 | Brandon Michael Zsigray | Neurological Surgery | 2160 S 1st Ave, Maywood, IL 60153 | 2018-03-19 |
| 1376997197 | Miri Kim | Neurological Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2016-04-18 |
| 1013393305 | Ignacio Jusue Torres | Neurological Surgery | 2160 S 1st Ave, Building 1900, Maywood, IL 60153-3328 | 2015-08-10 |
| 1568856656 | Michael Jones | Neurological Surgery | 2160 S 1st Ave, Maguire Building, Room 1900, Maywood, IL 60153-3328 | 2015-03-26 |
| 1457778599 | Daphne Li | Neurological Surgery | 2160 South First Ave, Maywood, IL 60153 | 2014-03-26 |
| 1225370521 | Ryan Christopher Hofler | Neurological Surgery | 2160 S 1st Ave, Loyola Outpatient Center, 4300, Maywood, IL 60153-3328 | 2013-03-25 |
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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.