Reynold a. Panettieri. M.D.P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD026841L Issued in PA

Legal business name

REYNOLD A. PANETTIERI. M.D.P.C.

Practice address

830 Solly Ave
Philadelphia, PA 19111-1924

Phone

(215) 342-5859

Fax

(215) 342-6136

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Reynold A Panettieri, M.D.

Title

Owner

Phone

(215) 342-5859

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861611303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SOLLY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191111924",
            "telephone_number": "215-342-5859",
            "fax_number": "215-342-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SOLLY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191111924",
            "telephone_number": "215-342-5859",
            "fax_number": "215-342-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLD A. PANETTIERI. M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANETTIERI",
        "authorized_official_first_name": "REYNOLD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-342-5859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD026841L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE LICENSE",
            "identifier": "MD026841L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1184611246",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0058288000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY #",
            "identifier": "$$$$$$$$$",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0058288001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROL SUBSTANCE REGISTR",
            "identifier": "AP4484779",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharita Reyes
• Dorrin Reyhani
• Kara L Reymann, CRNP
• Reynaldo Tomas Palacio
• Michael Reynaltti, CRNA
• Artia Reynolds
• Caitlin Leigh Reynolds
• Carl R Reynolds, MD
• Catherine Joanne Reynolds
• Dana Reynolds, M.D.

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.