Tyler Shane Reynolds in Springfield - Surgery
Tyler Shane Reynolds - NPI 1376737874
Tyler Shane Reynolds is a Surgery in Springfield, Missouri. Tyler Shane Reynolds practices all healthcare services and medical treatments related to Surgery. The NPI Number for Tyler Shane Reynolds is 1376737874. The last update date is 2023-08-10.
Tyler Shane Reynolds's current location address is 3800 S National Ave Ste 600, Springfield, Missouri. You can contact this provider via phone number 4178753000. The mailing address for Tyler Shane Reynolds is 3800 S National Ave Ste 600, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tyler Shane Reynolds |
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Address | 3800 S National Ave Ste 600, Springfield, Missouri |
Phone Number | 4178753000 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1376737874 |
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Provider Enumeration Date | 2007-08-28 |
Last Updated Date | 2023-08-10 |
Provider Mailing Address Detail
Address | 3800 S National Ave Ste 600 |
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City | Springfield |
State | Missouri (MO) |
Post Code | 658075249 |
Phone Number | 4178753000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | 2022007281 |
Definition: 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; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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200116135 | MO | -- |
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What is the unique identification code assigned to Tyler Shane Reynolds by the Centers for Medicare & Medicaid Services?
The Tyler Shane Reynolds has been issued the NPI (National Provider Identifier) 1376737874. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tyler Shane Reynolds?
The Tyler Shane Reynolds is physically situated at 3800 S National Ave Ste 600, in the city of Springfield, state of MO, with the postal code 658075249.
What is Tyler Shane Reynolds's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tyler Shane Reynolds is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did Tyler Shane Reynolds receive its 1376737874 assignment from the Centers for Medicare & Medicaid Services?
The Tyler Shane Reynolds was assigned its 1376737874 on 2007-08-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Tyler Shane Reynolds most recently updated or revised?
The information pertaining to Tyler Shane Reynolds, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-10.
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