Dr. David Dewitt Reynolds
Gastroenterologist
1860 Fair Ave. Suite A
Honesdale
, Pennsylvania 18431-1032
Dr. David Dewitt Reynolds
Gastroenterologist
1860 Fair Ave. Suite A
Honesdale
, Pennsylvania 18431-1032
(570) 253-1811
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. David Dewitt Reynolds
- 1860 Fair Ave. Suite A
- Honesdale, PA
- Zip : 18431-1032
- Fax : (570) 253-1811
- Phone : (570) 253-3391
Second Address
- Dr. David Dewitt Reynolds
- 1860 Fair Ave. Suite A
- Honesdale, PA
- Zip : 18431-1032
- Fax : (570) 253-1811
- Phone : (570) 253-3391
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | MD043252L | PA |
National Provider Identifier
| NPI | 1003829474 |
|---|---|
| Provider Name | Dr. David Dewitt Reynolds |
| First Address | Honesdale, PA 18431-1032 |
| Second Address | Honesdale, PA 18431-1032 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2006 |
| Last Update Date | 20/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0012880140006 | (05) | PA |
| 0562453000 | AMERIHEALTH (01) | PA |
| 110163810 | MEDICARE RAILROAD (01) | PA |
| 2400390 | GHI (01) | PA |
| 804628 | FIRST PRIORITY (01) | PA |
| 9036990 | PHCS (01) | PA |
| F28945 | (02) | PA |
| RE725073 | BLUE SHIELD (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.