MR. SAMUEL D. MCREYNOLDS (NPI# 1902832652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902832652 |
Entity Type | Individual |
Full Name | MR. SAMUEL D. MCREYNOLDS |
Credential | PA-C |
Practice Address |
537 Union Ave Grants Pass OR 97527-5543 |
Mailing Address |
2825 E Barnett Rd Medford OR 97504-8332 |
Practice Telephone | 5414796777 |
Practice Fax Number | 5414796779 |
Mailing Telephone | 5417894281 |
Enumeration Date | 2006-06-24 |
Last Update Date | 2020-02-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60914100 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 881062 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
7846 E Vista Bonita Dr, Scottsdale, AZ 852554123 | 4808601045 | 4806648889 |
Street Address |
537 UNION AVE |
City | GRANTS PASS |
State | OR |
Zip Code | 97527-5543 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255976197 | Alisha Naomi Zauher | Nurse Practitioner | 537 Union Ave, Grants Pass, OR 97527 | 2019-11-14 |
1023575891 | Kristen Clark | Specialist/Technologist | 537 Union Ave, Grants Pass, OR 97527-5543 | 2019-02-27 |
1225516537 | Jessie Kristen Hermant | Nurse Practitioner | 537 Union Ave, Grants Pass, OR 97527-5543 | 2018-07-30 |
1760973739 | Taira Coryn Butler | Registered Nurse | 537 Union Ave, Grants Pass, OR 97527 | 2018-05-24 |
1073041158 | Courtney Marie Wedgeworth | Otolaryngology | 537 Union Ave, Grants Pass, OR 97527-5543 | 2017-06-01 |
1073063772 | Beau J Shelton | Physician Assistant | 537 Union Ave, Grants Pass, OR 97527-5543 | 2016-10-06 |
1578918546 | Gabrielle Marie Fey | Registered Nurse | 537 Union Ave, Grants Pass, OR 97527-5543 | 2016-04-27 |
1093169104 | App Ent | Otolaryngology | 537 Union Ave, Second Floor -2c, Grants Pass, OR 97527-5543 | 2016-04-15 |
1811341928 | App Orthopedic Clinic | Orthopaedic Surgery | 537 Union Ave, Second Floor 2a, Grants Pass, OR 97527-5543 | 2016-04-15 |
1124472246 | App Urology Clinic | Urology | 537 Union Ave, Second Floor 2b, Grants Pass, OR 97527-5543 | 2016-04-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
Find all providers in zip 97527 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982603395 | Carey Janzik | Physician Assistant | 625 Ramsey Ave, Grants Pass, OR 97527-5808 | 2005-07-18 |
1598136368 | David Woodbury | Physician Assistant | 537 Union Ave, Grants Pass, OR 97527-5543 | 2015-10-19 |
1235541376 | Richard Ombrembowski | Physician Assistant | 537 Union Ave, Grants Pass, OR 97527-5543 | 2014-05-23 |
1720408321 | Jessica Francom | Physician Assistant | 625 Sw Ramsey Ave, Suite A, Grants Pass, OR 97527-5808 | 2014-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
1801321039 | Devin Fleming | Physician Assistant | 22936 Ne Pike St, Troutdale, OR 97060-2615 | 2017-04-25 |
1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
1518366863 | Latoya Allen | Physician Assistant | 2450 Highgate St, Unit 12, Medford, OR 97501-7955 | 2014-08-21 |
1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
Find all providers with the same taxonomy |
City | GRANTS PASS |
Zip Code | 97527 |
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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.