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DR. DEMETRA DIANE BARR REYNOLDS M.D. NPI 1790721777


NPI Information

NPI: 1790721777
Provider Name: DR. DEMETRA DIANE BARR REYNOLDS, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: DEMETRA BARR REYNOLDS MD PLLC

PECOS Registration: Yes

Address:
1600 W CHANDLER BLVD STE 160
CHANDLER, AZ
ZIP 85224
Phone: (480) 336-9101
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DR. Demetra Diane Barr Reynolds, M.D. is a family medicine in Chandler, AZ with 28 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Demetra Diane Barr Reynolds, M.D. NPI is 1790721777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

1600 W CHANDLER BLVD STE 160
CHANDLER, AZ
ZIP 85224-170
Phone: (480) 336-9101
Fax: (480) 508-1208

The NPI 1790721777 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 9/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA63274CALIFORNIANo
2207Q00000XFamily Medicine28556ARIZONAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.