KELLI A. REARDON (NPI# 1013175769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013175769 |
| Entity Type | Individual |
| Full Name | KELLI A. REARDON |
| Credential | M.D. |
| Practice Address |
2871 Ivy Rd Charlottesville VA 22903-9304 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349820777 |
| Practice Fax Number | 4349820792 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2017-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
0101253563 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700260783 | Kelli Reardon | Pharmacist | 1006 Fording Island Rd, Bluffton, SC 29910-4869 | 2015-07-20 |
| Street Address |
2871 IVY RD |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-9304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487785564 | Tyvin A. Rich | Radiology | Uva Hospital West, Hospital Drive, 3rd Floor, Charlottesville, VA 22908-0001 | 2007-03-08 |
| 1790786069 | Cynthia Spaulding | Radiology | 500 Martha Jefferson Drive, Charlottesville, VA 22911-4668 | 2005-08-09 |
| 1760864391 | Christopher Matthew Mclaughlin | Radiology | 1240 Lee St, Charlottesville, VA 22908-3735 | 2015-06-19 |
| 1568705705 | Kara D Romano | Radiology | 1215 Lee St, Charlottesville, VA 22908 | 2013-04-05 |
| 1760764336 | John L. Duminy | Radiology | 1240 Lee St, Charlottesville, VA 22908-0001 | 2011-09-09 |
| 1467744672 | Einsley-marie Janowski | Radiology | 1240 Lee St, Charlottesville, VA 22908-0817 | 2011-05-05 |
| 1295945939 | Timothy N. Showalter | Radiology | 1240 Lee St, Charlottesville, VA 22908-0001 | 2007-05-23 |
| 1205979143 | James M. Larner | Radiology | 1240 Lee St, Charlottesville, VA 22908-0817 | 2007-02-14 |
| 1265501803 | Paul W Read | Radiology | 1240 Lee St, Charlottesville, VA 22908-0001 | 2006-11-07 |
| 1700845625 | Anthony J Crimaldi II | Radiology | 500 Martha Jefferson Dr, Phillips Cancer Center, Charlottesville, VA 22911-4668 | 2006-03-20 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on KELLI A. REARDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.