Derek J Reynolds
ALICE HYDE MEDICAL CENTER


Address: 183 Park St, Malone, NY 12953-1238

Derek J Reynolds (NPI# 1285074054, PAC ID# 4183851199) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1285074054
PAC ID by PECOS 4183851199
Professional Enrollment ID I20131219001442
Full Name Derek J Reynolds
Organization Legal Name ALICE HYDE MEDICAL CENTER
Address 183 Park St
Malone
NY 12953-1238
Gender M
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4082525837
Number of Group Practice Members 65
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330084 ALICE HYDE MEDICAL CENTER
330250 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR

Other Locations

Address Phone Organization
183 Park St, Malone, NY 12953-1238 ALICE HYDE MEDICAL CENTER
23 Forth St, Suite 1, Malone, NY 12953-1238 5184818080 ALICE HYDE MEDICAL CENTER
24 4th St, Suite 4, Malone, NY 12953-1350 5184812632 ALICE HYDE MEDICAL CENTER

Organization Information

Organization Legal Name ALICE HYDE MEDICAL CENTER
Physicians 50

Physicians with the same organization

Name Specialty Organization Address
Megan E Gagner Certified Nurse Midwife (cnm) Alice Hyde Medical Center 16 3rd St A, Malone, NY 12953-1305
Rodolfo L Dy General Surgery Alice Hyde Medical Center 16 3rd St B, Malone, NY 12953-1305
Steven Shamosh Internal Medicine Alice Hyde Medical Center 183 Park St, Malone, NY 12953-1238
Sarah A Moore Physician Assistant Alice Hyde Medical Center 24 4th St, Suite 4, Malone, NY 12953-1350
Joseph E Robinson Family Medicine Alice Hyde Medical Center 45 6th St, Malone, NY 12953-1246
Kathleen Lauzon Nurse Practitioner Alice Hyde Medical Center 577 County Route 1, Fort Covington, NY 12937-2805
Anne E Mcilhenny Registered Dietitian Or Nutrition Professional Alice Hyde Medical Center 20 4th St, Malone, NY 12953-1339
Rowan Fish Dermatology Alice Hyde Medical Center 969 State Rt, Moira, NY 12957
Mia Ross Nurse Practitioner Alice Hyde Medical Center 23 4th St, Suite 1, Malone, NY 12953-1331
Myrna A Sanchez Internal Medicine Alice Hyde Medical Center 187 Park St, Suite 2, Malone, NY 12953-1233

Office Location

Street Address 183 PARK ST
City MALONE
State NY
Zip 12953-1238

Physicians in the same location

Name Specialty Organization Address
Steven Shamosh Internal Medicine Alice Hyde Medical Center 183 Park St, Malone, NY 12953-1238
Stephanie Leffler Nurse Practitioner Alice Hyde Medical Center 183 Park St, Malone, NY 12953-1238
Robert Stout Physician Assistant Alice Hyde Medical Center 183 Park St, Malone, NY 12953-1238
William R Latreille Jr. Internal Medicine Alice Hyde Medical Center 183 Park St, Suite 7, Malone, NY 12953-1238
Tammy M Coffey Physician Assistant Alice Hyde Medical Center 183 Park St, Malone, NY 12953-1238
Linda Hunter Physician Assistant Alice Hyde Medical Center 183 Park St, Malone, NY 12953-1238
Claudia E Dumitrescu Endocrinology Alice Hyde Medical Center 183 Park St, Malone, NY 12953-1238
Nikalesh Reddy General Surgery Alice Hyde Medical Center 183 Park St, Malone, NY 12953-1238
Brianne L Jeror Nurse Practitioner Alice Hyde Medical Center 183 Park St, Malone, NY 12953-1238
Brenda J Lepage Nurse Practitioner Alice Hyde Medical Center 183 Park St, Malone, NY 12953-1238
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Joel T Santy Chiropractic Adirondack Region Chiropractic PC 9 Finney Blvd, Malone, NY 12953-1038
Tracy A Trudel Chiropractic Adirondack Region Chiropractic PC 9 Finney Blvd, Malone, NY 12953-1038
Gary L Hanley Optometry 22 Finney Blvd, Malone, NY 12953-1039
Noni H Irish Clinical Social Worker Citizen Advocates, Inc 209 Park St, Malone, NY 12953-1228
Myrna A Sanchez Internal Medicine Alice Hyde Medical Center 187 Park St, Suite 2, Malone, NY 12953-1233
Marie W Haggarty Physician Assistant Alice Hyde Medical Center 187 Park St, Suite 2, Malone, NY 12953-1233
Vladimir Medved Pain Management Alice Hyde Medical Center 187 Park St, Suite 2, Malone, NY 12953-1233
David J Griffin Physician Assistant Alice Hyde Medical Center 187 Park St, Suite 2, Malone, NY 12953-1233
Wilhelmina M Sheridan Nurse Practitioner Alice Hyde Medical Center 183 Park St, Malone, NY 12953-1238
Marina Medved Osteopathic Manipulative Medicine Alice Hyde Medical Center 183 Park St, Malone, NY 12953-1238
Find all physicians in zip 12953

Competitor

Search similar physicians

City MALONE
Zip Code 12953
Specialty NURSE PRACTITIONER
City + Specialty MALONE + NURSE PRACTITIONER

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Dataset Information

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.

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