Susan Marie Reynolds, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

APRN.CNP.021891 Issued in OH

Practice address

2600 Tuscarawas St W Ste 440
Canton, OH 44708-4698

Phone

(330) 453-4000

Fax

(330) 456-2866

NPI assigned

Nov 14, 2017

Sex

Female

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aultman North Canton Medical GroupGroup PAC ID 4082605266, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aultman Hospital Hospital, Canton, OH, CCN 360084
• Alliance Community Hospital Hospital, Alliance, OH, CCN 360131

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.reynolds@direct.aultman.org

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.

• Aultman North Canton Medical Group

  • Multi-Specialty Clinic/Center
  • North Canton, OH
  • NPI 1245257088
  Medicare reassignment Care Compare group NPD
• Orrville Hospital Foundation

  • Critical Access Hospital
  • Orrville, OH
  • NPI 1891718375
  Medicare reassignment NPD
• Orrville Hospital Foundation

  • Rural Health Clinic/Center
  • Carrollton, OH
  • NPI 1902655681
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alliance Community Hospital

  • General Acute Care Hospital
  • Alliance, OH
  • NPI 1942385794
  Care Compare affiliation
• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1144733007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 SHEFFIELD ST NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447205844",
            "telephone_number": "330-205-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W STE 440",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084698",
            "telephone_number": "330-453-4000",
            "fax_number": "330-456-2866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 S Main St",
            "address_purpose": "LOCATION",
            "city": "Orrville",
            "state": "OH",
            "postal_code": "446672291",
            "country_code": "US",
            "telephone_number": "330-684-2015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.021891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Reyes, MFT
• Rachel Reyna, RN
• Emani L Reynolds
• Erin Reynolds
• Jaye Karynia Reynolds, LPN
• Thomas Lehman Reynolds, MD
• RG Way Inc
• Angela Rhoad
• Theresa Rhoads
• Rhoda'S Respite House

• Family Medicine Physician in Canton, OH
• Providers in Canton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.

Verify at the official NPI Registry.