William Reynolds


Address: 1531 E Bradford Pkwy, Suite 215, Springfield, MO 65804-6539

William Reynolds (NPI# 1154416006, PAC ID# 7315975182) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1154416006
PAC ID by PECOS 7315975182
Professional Enrollment ID I20050802000897
Full Name William Reynolds
Address 1531 E Bradford Pkwy
Suite 215
Springfield
MO 65804-6539
Gender M
Credential MD
Medical School UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year 1988
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260195 CITIZENS MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
1531 E Bradford Pkwy, Suite 215, Springfield, MO 65804-6539

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_138_overall Melanoma: Coordination of Care 100%

Organization Information

Office Location

Street Address 1531 E BRADFORD PKWY
SUITE 215
City SPRINGFIELD
State MO
Zip 65804-6539

Physicians in the same location

Name Specialty Organization Address
Ginger A Holczer Psychologist, Clinical 1531 E Bradford Pkwy, Suite 202, Springfield, MO 65804-6779
Kathleen F Lemon Psychologist, Clinical 1531 E Bradford Pkwy, Suite 210 1, Springfield, MO 65804-6856
Francis C Jansen Jr. Ophthalmology Missouri Eye Institute LLC 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804-6539
Bethany J Whitesell Optometry Missouri Eye Institute LLC 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804-6539

Physicians in the same zip code

Name Specialty Organization Address
Brenda Carrell Optometry Larimore, Baker, Brown, and Associates, Inc 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211
Ronald W Keeling Optometry Larimore, Baker, Brown, and Associates, Inc 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211
Bary Brown Optometry Larimore, Baker, Brown, and Associates, Inc 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211
Carolyn S Wampler Clinical Social Worker 1736 E Sunshine St, Springfield, MO 65804-1329
Iran N Cohen Psychologist, Clinical 1736 E Sunshine St, Suite 510, Springfield, MO 65804-1331
Jeanine L Siewert Clinical Social Worker 1736 E Sunshine, Suite 811, Springfield, MO 65804-1334
Sara S Hollis Psychologist, Clinical 1736 E Sunshine St, Suite 811, Springfield, MO 65804-1334
Susan L Waldo Psychologist, Clinical 1909 E Bennett St, Suite 106, Springfield, MO 65804-1400
Stephen R Adams Family Medicine Aids Project of The Ozarks 1636 S Glenstone Ave, 100 Aids Project of The Ozarks (apo), Springfield, MO 65804-1527
Julie A Macke Clinical Social Worker Aids Project of The Ozarks 1636 S Glenstone Ave, 100 Aids Project of The Ozarks (apo), Springfield, MO 65804-1527
Find all physicians in zip 65804

Competitor

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City SPRINGFIELD
Zip Code 65804
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty SPRINGFIELD + PLASTIC AND RECONSTRUCTIVE SURGERY

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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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