Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ross Reynolds, PA

Individual provider Physician Assistant · NPI 1104247410

Ross Reynolds, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2013, 13 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4100 Lake Dr SE Ste 205
Grand Rapids, MI 49546-8292
Phone: (616) 267-7414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 Clinton St, Muskegon, MI 49442-5502 — (231) 728-4601

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006902 (MI)

Record details

NPI number1104247410
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 5, 2014
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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