Matthew Robert McReynolds, CCP

Primary specialty

PerfusionistTaxonomy code 242T00000X

Practice address

1625 N Campbell Ave # Tower1
Tucson, AZ 85719-4330

Phone

(520) 694-0111

NPI assigned

Oct 12, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1043936966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 E SOBRE LOMAS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185726",
            "telephone_number": "520-248-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N CAMPBELL AVE # TOWER1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194330",
            "telephone_number": "520-694-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "credential": "CCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura McPheeters
• Erin McQuitty
• Brianna M. McQuown, SLPA
• Herbert A McReynolds, M.D.
• Kristi McReynolds, LCSW, RPT
• Rebecca A. McReynolds, PH.D.
• Natasha Grace McTaggart
• Ellen McVay, N.P.
• Richard S McVay, M.D.
• Thomas Scott McVean

• Perfusionist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Perfusionist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.