Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TYLER SHANE REYNOLDS, MD
ActiveDR. TYLER SHANE REYNOLDS, MD is a Surgical Critical Care healthcare provider located in SPRINGFIELD, Missouri. NPI 1376737874 is currently active in the NPPES registry. Verify at CMS.
Surgical Critical Care · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1376737874
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2007 (18.989101531871 yrs)
- Last Updated
- Aug 10, 2023
- Licenses
-
2022007281 (MO)074569 (GA)ME163370 (FL)A101986 (CA)
Practice Information
- Address
-
3800 S NATIONAL AVE STE 600SPRINGFIELD, MO, 658075249Browse MO providers · Browse ZIP 65807
- Phone
- 4178753000
- Primary Specialty
-
Surgical Critical Care
2086S0102X
- Additional Specialty
- General Surgery
- Additional Specialty
- Surgical Critical Care
- Additional Specialty
- General Surgery
Other Surgical Critical Care Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| MATTHEW E SIMPSON | MD | 1003020116 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.