TOM MCREYNOLDS ANESTHESIA NPI 1336192814

NPI Information

  • NPI: 1336192814
  • Provider Name: TOM MCREYNOLDS ANESTHESIA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 640 LEIGH DR
    COLUMBUS, MS
    ZIP 39705
  • Phone: (334) 386-2053

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NPI Details

TOM MCREYNOLDS ANESTHESIA is a specialist in Columbus, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TOM MCREYNOLDS ANESTHESIA NPI is 1336192814. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

640 LEIGH DR
COLUMBUS, MS
ZIP 39705-014
Phone: (334) 386-2053
Fax: (334) 244-1830

The provider's authorized official is Terrie L. Carleton .
The authorized official title is Account Manager and has the following contact phone number (334) 386-2053.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 10/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C03138MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIMEDICARE GROUP PROV #
203285814MEDICAIDMISSISSIPPI
3DC1005OTHERMISSISSIPPIRAILROAD MEDICARE PROV #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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