Red River Nephrology Associates PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

H6541 Issued in TX

Legal business name

RED RIVER NEPHROLOGY ASSOCIATES PA

Practice address

321 N Highland Ave
Suite 105
Sherman, TX 75092-7378

Phone

(903) 893-7170

Fax

(903) 893-4372

NPI assigned

May 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Glenn Reynolds I, MDNPI 1801894365

Title

President/Provider

Phone

(903) 893-7170

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Glenn Reynolds Sr., MD

  • Nephrology Physician
  • Denison, TX
  • NPI 1801894365

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1689621237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N HIGHLAND AVE",
            "address_2": "SUITE 105",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927378",
            "telephone_number": "903-893-7170",
            "fax_number": "903-893-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N HIGHLAND AVE",
            "address_2": "SUITE 105",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927378",
            "telephone_number": "903-893-7170",
            "fax_number": "903-893-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER NEPHROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "903-893-7170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H6541",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "H6541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "00K55R",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1736996",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4333749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Ray
• Brian Ray, LPC-ASSOCIATE
• Candace Michelle Ray, LPC
• Rebecca R Rue MD PLLC
• Red River Ep PLLC
• Red River Neurosurgical
• Red River Sherman Hospital LLC
• Whitney Uptmore Redden, LPC
• Tracee Redmond
• Regional Plastic Surgery Center PA (Regional Plastic Surgery Center - Sherman)

• Specialist in Sherman, TX
• Providers in Sherman, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.