Alex Richard Reynolds (NPI# 1043784432, PAC ID# 0749528024) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1043784432 |
| PAC ID by PECOS | 0749528024 |
| Professional Enrollment ID | I20190212000990 |
| Full Name | Alex Richard Reynolds |
| Organization Legal Name | SYPERT INSTITUTE PA |
| Address |
12700 Creekside Lane Suite 101 Fort Myers FL 33919-3356 |
| Phone Number | 9414320774 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5193618767 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100220 | GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 12700 Creekside Lane, Suite 101, Fort Myers, FL 33919-3356 | 9414320774 | SYPERT INSTITUTE PA |
| Organization Legal Name | SYPERT INSTITUTE PA |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley H Faunce Iii | Neurosurgery | Sypert Institute Pa | 632 Del Prado N Blvd, Suite 101, Cape Coral, FL 33909-2278 |
| Eileen M Cohen | Physician Assistant | Sypert Institute Pa | 632 Del Prado N Blvd, Cape Coral, FL 33909-2278 |
| Ross W Kravetz | Physician Assistant | Sypert Institute Pa | 632 Del Prado N Blvd, Cape Coral, FL 33909-2278 |
| Gary J. Correnti | Neurosurgery | Sypert Institute Pa | 12700 Creekside Lane, Suite 101, Fort Myers, FL 33919-3356 |
| Bruce A. Patzwahl | Physician Assistant | Sypert Institute Pa | 12700 Creekside Lane, Suite 101, Fort Myers, FL 33919-3356 |
| Pierre R Hyppolite | Physical Medicine and Rehabilitation | Sypert Institute Pa | 632 Del Prado N Blvd, Suite 101, Cape Coral, FL 33909-2278 |
| Jaime Alberto Alvarez | Neurosurgery | Sypert Institute Pa | 12700 Creekside Lane, Suite 101, Fort Myers, FL 33919-3356 |
| Douglas F Savage | Neurosurgery | Sypert Institute Pa | 12700 Creekside Lane, Suite 101, Fort Myers, FL 33919-3356 |
| Donald J. Moyer | Neurosurgery | Sypert Institute Pa | 632 Del Prado N Blvd, Suite 101, Cape Coral, FL 33909-2278 |
| Dorothea Tocco | Physician Assistant | Sypert Institute Pa | 632 Del Prado N Blvd, Cape Coral, FL 33909-2278 |
| Street Address |
12700 CREEKSIDE LANE SUITE 101 |
| City | FORT MYERS |
| State | FL |
| Zip | 33919-3356 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary J. Correnti | Neurosurgery | Sypert Institute Pa | 12700 Creekside Lane, Suite 101, Fort Myers, FL 33919-3356 |
| Bruce A. Patzwahl | Physician Assistant | Sypert Institute Pa | 12700 Creekside Lane, Suite 101, Fort Myers, FL 33919-3356 |
| Jaime Alberto Alvarez | Neurosurgery | Sypert Institute Pa | 12700 Creekside Lane, Suite 101, Fort Myers, FL 33919-3356 |
| Douglas F Savage | Neurosurgery | Sypert Institute Pa | 12700 Creekside Lane, Suite 101, Fort Myers, FL 33919-3356 |
| Alisa Romero | Physician Assistant | Sypert Institute Pa | 12700 Creekside Lane, Suite 101, Fort Myers, FL 33919-3356 |
| James P. Weiner | Physical Medicine and Rehabilitation | Sypert Institute Pa | 12700 Creekside Lane, Suite 101, Fort Myers, FL 33919-3356 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naser Kamkar | Family Medicine | 4575 Via Royale, Suite 216, Fort Myers, FL 33919-1019 | |
| Adelene Frances Tolisano | Nurse Practitioner | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Carlie M Black | Physician Assistant | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Sharon L Spoede | Nurse Practitioner | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Robert M Mandelkorn | Ophthalmology | 1510 Royal Palm Square Blvd, Suite 106, Fort Myers, FL 33919-1068 | |
| Robin Thad Goodwin | Ophthalmology | 1510 Royal Palm Square Blvd, Suite 106, Fort Myers, FL 33919-1068 | |
| Joseph G Magnant | Vascular Surgery | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Jill Tanner | Nurse Practitioner | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Jill Layman | Nurse Practitioner | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Angela M Tapia | Internal Medicine | Millennium Physician Group LLC | 4755 Summerlin Rd, Suite 8, Fort Myers, FL 33919-1073 |
| Find all physicians in zip 33919 | |||
| City | FORT MYERS |
| Zip Code | 33919 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FORT MYERS + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.