Healthcare Provider Details

I. General information

NPI: 1528048402
Provider Name (Legal Business Name): RONALD D REYNOLDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7545 BEECHMONT AVE STE C
CINCINNATI OH
45255-4238
US

IV. Provider business mailing address

2139 AUBURN AVE
CINCINNATI OH
45219-2989
US

V. Phone/Fax

Practice location:
  • Phone: 513-564-4026
  • Fax: 513-564-4027
Mailing address:
  • Phone: 513-351-9900
  • Fax: 513-366-4491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35052216
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: