Individual provider Active NPI

David Dewitt Reynolds, M.D.

  • Gastroenterology Physician
  • Honesdale, PA
National Provider Identifier
1003829474
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD043252L Issued in PA
Practice address
1860 Fair Ave.
Suite a
Honesdale, PA 18431-1032
Phone
(570) 253-3391
Fax
(570) 253-1811
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD043252L PA Primary

Addresses

Primary practice location

1860 Fair Ave.
Suite a
Honesdale, PA 18431-1032

Mailing address

1860 Fair Ave.
Suite a
Honesdale, PA 18431-1032
Phone (570) 253-3391

Other identifiers 7

IdentifierTypeStateIssuer
110163810OtherPAMEDICARE RAILROAD
RE725073OtherPABLUE SHIELD
0012880140006MedicaidPA
2400390OtherPAGHI
9036990OtherPAPHCS
0562453000OtherPAAMERIHEALTH
804628OtherPAFIRST PRIORITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000682 PA Practitioner - Gastroenterology 7719886464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Hahnemann University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeastern Gastroenterology Associates, PCGroup PAC ID 7113990912, 8 clinicians

Practice addresses (Care Compare)

1860 Fair Ave
Suite a
Honesdale, PA 18431-2108
Phone (570) 253-3391

Hospital & facility affiliations

  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy204
Upper gastrointestinal (GI) endoscopy for acid reflux301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD043252LPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Wright Center Medical Group CurrentSince Mar 10, 2024 Accepting new patients
The Wright Center Medical Group Gastroenterology CurrentSince Mar 10, 2024 Accepting new patients
Northeastern Gastroenterology Associates, PC Gastroenterology CurrentSince Jul 21, 1992 Accepting new patients
Maple City Anesthesia LLC PastSince Jun 25, 2007 Accepting new patients
Pathology Associates of NE PA LTD PastSince Jul 21, 1992 Accepting new patients

Locations

2812 Scranton Carbondale Hwy
Blakely, PA 18447

2812 Scranton Carbondale Hwy
Ste 103
Blakely, PA 18447
Phone (570) 253-3391

260 Daleville Hwy
Ste 103
Covington Township, PA 18444
Phone (570) 591-5150

103 Spruce St
Hawley, PA 18428
Phone (570) 390-4545

1855 Fair Ave
Lowr
Honesdale, PA 18431
Phone (570) 253-3980

1860 Fair Ave
Ste A
Honesdale, PA 18431
Phone (570) 253-3391

310 Sunrise Ave
Honesdale, PA 18431
Phone (570) 253-4255

5 S Washington Ave
Jermyn, PA 18433
Phone (570) 230-0019

329 Cherry St
Ste 1B
Scranton, PA 18505
Phone (570) 591-5250

312 Boulevard Ave
Scranton, PA 18519
Phone (570) 489-4567

200 Wyoming Ave
#250
Scranton, PA 18503
Phone (570) 342-5253

501 S Washington Ave
Ste 1000
Scranton, PA 18505
Phone (570) 866-3058

1401 Fellows St
Scranton, PA 18504
Phone (570) 591-5280

1145 Northern Blvd
South Abington Township, PA 18411
Phone (570) 493-1335

169 N Pennsylvania Ave
Wilkes Barre, PA 18701
Phone (570) 346-8147

Interoperability endpoints

  • Direct secure messaging: dreynolds@gastrohonesdale.medentdirect.com
  • Direct secure messaging: dreynolds@thewrightcenter.medentdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1003829474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 FAIR AVE.",
            "address_2": "SUITE A",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311032",
            "telephone_number": "570-253-3391",
            "fax_number": "570-253-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 FAIR AVE.",
            "address_2": "SUITE A",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311032",
            "telephone_number": "570-253-3391",
            "fax_number": "570-253-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DAVID",
        "middle_name": "DEWITT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD043252L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110163810",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "RE725073",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012880140006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2400390",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9036990",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0562453000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "804628",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.