Healthcare Provider Details

I. General information

NPI: 1609037399
Provider Name (Legal Business Name): CASSANDRA LANE REYNOLDS MD, FACS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASSANDRA LANE CASH MD

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E HAMPDEN AVE STE 200
ENGLEWOOD CO
80113-3781
US

IV. Provider business mailing address

601 E HAMPDEN AVE STE 200
ENGLEWOOD CO
80113-2788
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-5300
  • Fax:
Mailing address:
  • Phone: 303-788-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberN5610
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberDR-0058564
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberA123975
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number2014-00568
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2014-00568
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number2014-00568
License Number StateNC
# 7
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDR-0058564
License Number StateCO
# 8
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberA123975
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberDR-0058564
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: