DR. BLAIR ELIZABETH CREEDLE REYNOLDS MD - NPI 1841993664 - Student in an Organized Health Care Education/Training Program in Columbus, OH

Q: What is Blair Creedle Reynolds's NPI number?

The NPI number for Blair Creedle Reynolds is 1841993664. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Blair Creedle Reynolds's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Dr. Blair Elizabeth Creedle Reynolds Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BLAIR ELIZABETH CREEDLE REYNOLDS MD (NPI 1841993664) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841993664

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. BLAIR ELIZABETH CREEDLE REYNOLDSCredential: MD

Location Address376 W. 10TH AVE, 774 PRIOR HALLColumbus, OH 43210

Mailing Address376 W. 10th Ave, 774 Prior HallColumbus, OH 43210

Phone(614) 293-8306

Sole ProprietorNo

Enumeration DateMarch 22, 2023

Last NPPES UpdateAugust 23, 20233 updates tracked since enumeration

NPPES CertifiedAugust 23, 2023

✔ NPI 1841993664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

376 W. 10TH AVE, Columbus, OH 43210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Blair Elizabeth Creedle Reynolds Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOBBAK TADAYON

Emergency Medicine