Organization Active NPI

Mitchell D Reynolds PC

  • Anesthesiology Physician
  • St George, UT
National Provider Identifier
1043497753
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
199460-4406 Issued in UT
Legal business name
MITCHELL D REYNOLDS PC
Practice address
640 E 700 S Ste 10B
St George, UT 84770-4036
Phone
(435) 652-9127
Fax
(435) 674-7339
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Mitchell D Reynolds, CRNA
Title
President
Phone
(435) 652-9127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 199460-4406 UT Primary

Addresses

Primary practice location

640 E 700 S Ste 10B
St George, UT 84770-4036

Mailing address

PO Box 911928
St George, UT 84791-1928
Phone (435) 652-9127

Other names 1

  • NO PAIN ANESTHESIA Other name

National Provider Directory

National Provider Directory

Locations

640 E 700 S
#911928
St George, UT 84770
Phone (435) 691-0693

676 S Bluff St
#101
St George, UT 84770
Phone (435) 673-8080

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1043497753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911928",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847911928",
            "telephone_number": "435-652-9127",
            "fax_number": "435-674-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E 700 S STE 10B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704036",
            "telephone_number": "435-652-9127",
            "fax_number": "435-674-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL D REYNOLDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-652-9127",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "199460-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NO PAIN ANESTHESIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.