W. Emery Reynolds, M.D., PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

13840 Issued in OK

Legal business name

W. EMERY REYNOLDS, M.D., PLLC

Practice address

4120 W Memorial Rd Ste 208
Oklahoma City, OK 73120-9322

Phone

(405) 755-3540

Fax

(405) 755-7001

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Emery Reynolds, M.D.

Title

Partnership

Phone

(405) 755-3540

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1023028131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268947",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268947",
            "telephone_number": "405-321-5683",
            "fax_number": "405-329-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 W MEMORIAL RD STE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209322",
            "telephone_number": "405-755-3540",
            "fax_number": "405-755-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. EMERY REYNOLDS, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EMERY",
        "authorized_official_title_or_position": "PARTNERSHIP",
        "authorized_official_telephone_number": "405-755-3540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "13840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123830A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.