REGINALD WINFIELD RAYNOR III (NPI# 1861465635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861465635 |
| Entity Type | Individual |
| Full Name | REGINALD WINFIELD RAYNOR III |
| Credential | M.D. |
| Practice Address |
29 Haynes St Suite B Manchester CT 06040-4139 |
| Practice Telephone | 8606468888 |
| Practice Fax Number | 8606468885 |
| Mailing Telephone | 8606468888 |
| Mailing Fax Number | 8606468885 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2014-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 26317 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001263177 | 05 |
| Street Address |
29 HAYNES ST SUITE B |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427675354 | Orthopedic Associates of Hartford,pc | Durable Medical Equipment & Medical Supplies | 29 Haynes St, Manchester, CT 06040-4139 | 2020-06-26 |
| 1255858593 | Alexander W Bernard | Physical Therapist | 29 Haynes St, Manchester, CT 06040-4139 | 2017-08-28 |
| 1659799823 | Brian Wirtalla | Physical Therapist | 29 Haynes St, Suite A, Manchester, CT 06040-4139 | 2014-04-03 |
| 1033461454 | Hartford Healthcare Medical Group, Inc | Podiatrist | 29 Haynes St, Manchester, CT 06040-4139 | 2012-10-09 |
| 1386924264 | Hartford Clinical Associates, PC | Podiatrist | 29 Haynes St, Manchester, CT 06040-4139 | 2011-08-23 |
| 1174801682 | Jeffrey M Ranaudo | Surgery | 29 Haynes St, Unit D, Manchester, CT 06040-4139 | 2011-08-01 |
| 1619126190 | Monika M Rejnin | Physician Assistant | 29 Haynes St, Suite D, Manchester, CT 06040-4139 | 2008-09-09 |
| 1952589434 | Connecticut Surgical Group, PC | Podiatrist | 29 Haynes St, Manchester, CT 06040-4139 | 2008-02-06 |
| 1871634279 | Connecticut Center for Orthopedic Surgery, LLC | Orthopaedic Surgery | 29 Haynes St, Manchester, CT 06040-4139 | 2007-02-09 |
| 1548224512 | James T Mazzara | Orthopaedic Surgery | 29 Haynes St, Manchester, CT 06040-4139 | 2006-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1013279199 | Eyone Jones | Surgery | 29 Haynes St Ste B, Manchester, CT 06040-4139 | 2012-06-13 |
| 1982721866 | William S. Karkow | Surgery | 2582 150th Ave, Manchester, IA 52057-8524 | 2007-03-23 |
| 1205912102 | Manchester Surgical Assoc | Surgery | 1239 Mcarthur Drive, Manchester, TN 37355-2423 | 2006-10-31 |
| 1598873259 | Ja-nan Yu | Surgery | 1050 Mcarthur Street, Manchester, TN 37349 | 2006-08-25 |
| 1457388183 | Laureen Forgione-rubino | Surgery | 945 Main Street, Suite #105, Manchester, CT 06040 | 2006-06-27 |
| 1568423846 | Marc S Rubenson | Surgery | 125 Chase Way, Manchester, NH 03104-1717 | 2006-03-28 |
| 1225004005 | Edward P. Dalton | Surgery | Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-02-23 |
| 1710976964 | Lawrence Michael Hoepp | Surgery | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-10-20 |
| 1164424131 | Dana Phillip Edwards | Surgery | 204 Town Branch Rd, Manchester, KY 40962-1322 | 2005-08-10 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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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.