Jeremy Reynolds, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA06282 Issued in TX

Practice address

322 Coleman St
Falls Community Hospital
Marlin, TX 76661-2358

Phone

(254) 803-3561

Fax

(254) 883-6066

NPI assigned

Feb 27, 2006

Last updated

Jan 11, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/fallsch-0fb2c090

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Falls Community Hospital and Clinic

  dba The Doctor Clinic

  • Emergency Medicine Physician
  • Marlin, TX
  • NPI 1093743783
  Medicare reassignment NPD
• Falls Community Hospital and Clinic

  • Rural Acute Care Hospital
  • Marlin, TX
  • NPI 1841294246
  NPD
• Falls Community Hospital and Clinic

  dba FCHC Marlin Clinic

  • Rural Health Clinic/Center
  • Marlin, TX
  • NPI 1629173737
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1518933852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 COLEMAN ST",
            "address_2": "PO BOX 60",
            "city": "MARLIN",
            "state": "TX",
            "postal_code": "766612358",
            "telephone_number": "254-803-3561",
            "fax_number": "254-883-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 COLEMAN ST",
            "address_2": "FALLS COMMUNITY HOSPITAL",
            "city": "MARLIN",
            "state": "TX",
            "postal_code": "766612358",
            "telephone_number": "254-803-3561",
            "fax_number": "254-883-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JEREMY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earlletha Milton
• Nurse-Con Corporation (Elmwood Nursing Center)
• Eric Roy Odling, LP
• Vani Pavan, PERIODONTIST
• Providence Health Services of Waco (Falls Community Health Center)
• Jill Andrea Riley, LCSW
• Stephanie Rodrigues, LPC
• George Glenn Rose, DDS DOS
• Sanitarium Drug Co (Sanitarium Drug Store)
• Darrell Lynn Schneider, RPH

• Physician Assistant in Marlin, TX
• Providers in Marlin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.