Active NPI
George E Reynolds, MD
- Family Medicine Physician
- Westfield, MA
National Provider Identifier
1326099094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33284
- Practice address
- 75 Springfield Rd
Suite 1
Westfield, MA 01085-1832 - Phone
- (413) 562-5173
- Fax
- (413) 562-1716
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33284 | MA | Primary |
Addresses
Primary practice location
75 Springfield Rd
Suite 1
Westfield, MA 01085-1832
Mailing address
75 Springfield Rd
Suite 1
Westfield, MA 01085-1832
Phone (413) 562-5173
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2026066 | Medicaid | MA | |
| BXO756 | Other | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33284 | MA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1326099094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 SPRINGFIELD RD",
"address_2": "SUITE 1",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010851832",
"telephone_number": "413-562-5173",
"fax_number": "413-562-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SPRINGFIELD RD",
"address_2": "SUITE 1",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010851832",
"telephone_number": "413-562-5173",
"fax_number": "413-562-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "GEORGE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "33284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2026066",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "BXO756",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Westfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.