Active NPI
David Dewitt Reynolds, M.D.
- Gastroenterology Physician
- Honesdale, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD043252L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110163810 | Other | PA | MEDICARE RAILROAD |
| RE725073 | Other | PA | BLUE SHIELD |
| 0012880140006 | Medicaid | PA | |
| 2400390 | Other | PA | GHI |
| 9036990 | Other | PA | PHCS |
| 0562453000 | Other | PA | AMERIHEALTH |
| 804628 | Other | PA | FIRST 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
Enrollment records 1
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
Practice addresses (Care Compare)
1860 Fair Ave
Suite a
Honesdale, PA 18431-2108
Phone (570) 253-3391
Hospital & facility affiliations
- Wayne Memorial Hospital
- Geisinger-Community Medical Center
- Regional Hospital of Scranton
- Geisinger Wyoming Valley Medical Center
- Morristown Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 204 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 301 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD043252L | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wright Center Medical Group | Current | Accepting new patients | |
| The Wright Center Medical Group | Gastroenterology | Current | Accepting new patients |
| Northeastern Gastroenterology Associates, PC | Gastroenterology | Current | Accepting new patients |
| Maple City Anesthesia LLC | Past | Accepting new patients | |
| Pathology Associates of NE PA LTD | Past | 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
- dreynolds@gastrohonesdale.medentdirect.com
- 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.
-
- Gastroenterology Physician
- Honesdale, PA
- NPI 1942211248
-
- Internal Medicine Physician
- Scranton, PA
- NPI 1194739979
-
- Certified Registered Nurse Anesthetist
- Honesdale, PA
- NPI 1609068196
-
- Federally Qualified Health Center (FQHC)
- Scranton, PA
- NPI 1649836941
Gastroenterology
-
- Anatomic Pathology & Clinical Pathology Physician
- Dunmore, PA
- NPI 1528022142
Hospital & facility affiliations 34
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Scranton, PA
- NPI 1306439856
Hospital
-
- General Acute Care Hospital
- Scranton, PA
- NPI 1366444507
-
- General Acute Care Hospital
- Scranton, PA
- NPI 1972652063
-
- Diagnostic Radiology Physician
- Scranton, PA
- NPI 1467850149
Hospital
-
- Radiology Clinic/Center
- Scranton, PA
- NPI 1548648272
Hospital
-
- Radiology Clinic/Center
- Scranton, PA
- NPI 1124405592
Hospital
-
- Physical Therapy Clinic/Center
- Scranton, PA
- NPI 1336526276
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Scranton, PA
- NPI 1417334350
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.