Terry M Reznick, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009942 Issued in MI

Practice address

5065 Miller Rd
Flint, MI 48507-1037

Phone

(810) 230-0338

Fax

(810) 230-0595

NPI assigned

Feb 5, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295874451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 MARGARET DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484308842",
            "telephone_number": "810-629-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071037",
            "telephone_number": "810-230-0338",
            "fax_number": "810-230-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNICK",
        "first_name": "TERRY",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0152511075",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4752012",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina L. Reynolds, LLMSW-CLINICAL
• Lawrence Reynolds, MD
• Paulette Reynolds, SST
• Shannon M Reynolds, BS
• Melodee Lee Rezanka, MA, LLPC
• Nicole Rheaume, LBSW
• Kristo Rhodes, LMSW
• Yolanda Sheriece Rhodes, LMSW
• Jenna Rhodig, CPNP-PC
• James Tae Suk Rhyee, MD

• Family Medicine Physician in Flint, MI
• Providers in Flint, 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 Jul 8, 2007; 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.