Physician Compare National (NPI:1184810194)

HEALTHCARE PROVIDER: MATTHEW WAYNE MCREYNOLDS D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1184810194
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648354936
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110926000850
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCREYNOLDS
	Individual professional last name
Provider First Name	MATTHEW
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	909 S GOLD AVE
	Group Practice or individual's line 1 address
City	DEMING
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	880304754
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5755465757
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y