Active NPI
Keith E McReynolds, MD
- Otolaryngology Physician
- Tempe, AZ
National Provider Identifier
1598717647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 9169
- Practice address
- 1460 E Colt Road
Tempe, AZ 85284 - Phone
- (480) 227-0500
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 9169 | AZ | Primary |
Addresses
Primary practice location
1460 E Colt Road
Tempe, AZ 85284
Mailing address
1460 E Colt Road
Tempe, AZ 85284
Phone (480) 227-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| STATE LICENSE # 9169 | Other | AZ | AZ MEDICAL BOARD |
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 |
|---|---|---|---|
| 9169 | AZ | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Otolaryngology Consultants, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Phoenix, AZ
- NPI 1679538441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1598717647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 E COLT ROAD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85284",
"telephone_number": "480-227-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 E COLT ROAD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85284",
"telephone_number": "480-227-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCREYNOLDS",
"first_name": "KEITH",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "9169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ MEDICAL BOARD",
"identifier": "STATE LICENSE # 9169",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
- James Harold McNeil, SLPA
- Jodi McNeil, CCC-SLP
- Kathryn Ann McNichol, LMSW
- Madison McQueary, DPT
- Courtney McQueen
- Heather McStay
- Katie J McWhirter, MS, RD
- MD Business Solutions Corp (Tempe Psychiatry)
- MD Business Solutions Corp (Tempe Psychiatry)
- MDBB Management LLC (Orthodontic Specialists of Arizona)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.