Reynold M John, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RJ405724 Issued in MI

Legal business name

REYNOLD M JOHN, MD, PC

Practice address

43171 Dalcoma Dr Ste 6
Clinton TWP, MI 48038-6307

Phone

(586) 286-1163

NPI assigned

Jul 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Reynold M John, M.D., PHD

Title

Dr/Owner

Phone

(586) 286-1163

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1073776456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 JORDAN DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985628",
            "telephone_number": "248-879-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR STE 6",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386307",
            "telephone_number": "586-286-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLD M JOHN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "REYNOLD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "586-286-1163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "RJ405724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301094",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Courtney Kotenko Richey, LLPC
• Theodore Rider
• Craig E. Riffel, D.C.

• Family Medicine Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Family Medicine Physician in Michigan

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