Active NPI
Peyton Reynolds Marr, DO
- Obstetrics & Gynecology Physician
- Ruskin, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS19853
- Practice address
- 948 Cypress Village Blvd., Unit a
Ruskin, FL 33573-5640 - Phone
- (813) 633-3002
- Fax
- (813) 633-6392
- NPI assigned
- Apr 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS19853 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
948 Cypress Village Blvd., Unit a
Ruskin, FL 33573-5640
Mailing address
PO Box 748817
Atlanta, GA 30374-5640
Phone (813) 286-0033
Other practice location 1
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (773) 665-6730
Other names 1
- Peyton L Reynolds
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Alabama College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
515 S Kings Ave
Suite 2000
Brandon, FL 33511-5921
Phone (813) 685-0232
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens' Health Hospitalists, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Women'S Care Florida LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
515 S Kings Ave
Ste 2000
Brandon, FL 33511
Phone (813) 685-0232
946 Cypress Village Blvd
Ste B
Ruskin, FL 33573
Phone (813) 633-3002
948 Cypress Village Blvd
Ste A
Sun City Center, FL 33573
Phone (813) 633-3002
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
4602 N Armenia Ave
Ste 301
Tampa, FL 33603
Phone (813) 530-4950
5002 W Lemon St
Tampa, FL 33609
4602 N Armenia Ave
Ste 300
Tampa, FL 33603
Phone (813) 878-2211
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
Interoperability endpoints
- peyton.marr@wcfnf.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1144782392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303745640",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "948 CYPRESS VILLAGE BLVD., UNIT A",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335735640",
"telephone_number": "813-633-3002",
"fax_number": "813-633-6392"
}
],
"practiceLocations": [
{
"address_1": "2900 N Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606575640",
"country_code": "US",
"telephone_number": "773-665-6730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARR",
"first_name": "PEYTON",
"middle_name": "REYNOLDS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS19853",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PEYTON",
"last_name": "REYNOLDS",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ruskin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.