Craig Anthony Reynolds, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25116 Issued in CO

Practice address

3280 Wadsworth Blvd
Suite 100
Wheat Ridge, CO 80033-4628

Phone

(303) 985-3303

Fax

(303) 232-8585

NPI assigned

Dec 13, 2007

Sex

Male

Sole proprietor

Yes

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 CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Healogics Specialty Physicians of Colorado-Professional, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Parker, CO
  • NPI 1114331006
  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment
• Healogics Specialty Physicians of Colorado-Professional, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lakewood, CO
  • NPI 1114559572
  NPD
• Intermountain Medical Group Denver, LLC

  dba Orthopedic Centers of Colorado - Saint Joseph

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  dba Midtown Inpatient Medicine

  • Hospitalist Physician
  • Denver, CO
  • NPI 1467081877
  NPD

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1174706006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 WADSWORTH BLVD",
            "address_2": "SUITE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334628",
            "telephone_number": "303-985-3303",
            "fax_number": "303-232-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 WADSWORTH BLVD",
            "address_2": "SUITE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334628",
            "telephone_number": "303-985-3303",
            "fax_number": "303-232-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CRAIG",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "25116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Rettschlag, RDH
• Revive Treatment Centers of America
• Craig Ralph Revord, B.A.A.
• Adam Reynolds
• Alton Leon Reynolds Jr.
• Danielle Rene Reynolds, RDH
• James Reynolds
• Lyndon B Reynoso, RPH
• Rfurey Sa LLC
• Michelle Gail Rhodes, FNP-C

• Specialist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.