DR. PHILIP T REGALA (NPI# 1144290206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144290206 |
| Entity Type | Individual |
| Full Name | DR. PHILIP T REGALA |
| Credential | M.D. |
| Practice Address |
1350 Tamiami Trl N Ste 203 Naples FL 34102-5203 |
| Practice Telephone | 2393251131 |
| Practice Fax Number | 2392625980 |
| Mailing Telephone | 2393251131 |
| Mailing Fax Number | 2392625980 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2014-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
ME63476 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 251729900 | 05 | |
| FL | BLUE CROSS | 32870 | 01 |
| Street Address |
1350 TAMIAMI TRL N STE 203 |
| City | NAPLES |
| State | FL |
| Zip Code | 34102-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366412405 | Kevin J Gallen | Physician Assistant | 1350 Tamiami Trl N, #202, Naples, FL 34102-5203 | 2006-01-23 |
| 1295136240 | Kristen Marie Mclaughlin | Physician Assistant | 1350 Tamiami Trl N, Suite 201, Naples, FL 34102-5209 | 2014-09-09 |
| 1043624174 | A1 Imaging Centers, LLC | Clinic/Center | 1350 Tamiami Trl N, Suite 101, Naples, FL 34102-5209 | 2014-06-17 |
| 1740579481 | Vein Care Specialists of South Florida, Inc | Specialist | 1350 Tamiami Trl N, Ste 204, Naples, FL 34102-5209 | 2011-04-04 |
| 1861538902 | Philip Regala Md Pl | Orthopaedic Surgery | 1350 Tamiami Trl N, #203, Naples, FL 34102-5203 | 2007-01-29 |
| 1073659199 | Michael T Havig Md Pl | Orthopaedic Surgery | 1350 Tamiami Trl N, #202, Naples, FL 34102-5203 | 2007-01-29 |
| 1114014677 | Vascular Specialists of South Florida LLC | Specialist | 1350 Tamiami Trl N, Suite 202, Naples, FL 34102-5203 | 2006-10-06 |
| 1780780569 | Veins Care Specialists of South Florida | Specialist | 1350 Tamiami Trl N, Suite 205a, Naples, FL 34102-5203 | 2006-09-16 |
| 1003922832 | American Radiology Services Banyan Center LLC | Clinic/Center | 1350 Tamiami Trl N, Suite101, Naples, FL 34102-5203 | 2006-08-22 |
| 1467471235 | Mark John Marzano | Clinic/Center | 1350 Tamiami Trl N, Ste 101, Naples, FL 34102-5209 | 2006-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1912428632 | Daily Care At Home, LLC | Home Health | 180 9th Street South, Suite 200, Naples, FL 34102 | 2017-07-03 |
| 1760737365 | Family Private Care Inc | Home Health | 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 | 2012-07-19 |
| 1013205384 | Valerie Jean Bress | Nurse Practitioner | 350 7th Street, Naples Community Hospital, Naples, FL 34102 | 2011-07-20 |
| 1154573830 | Gustavo D Rivera | Internal Medicine | 1064 Goodlette Road, Naples, FL 34102 | 2008-10-14 |
| 1881872281 | Proscan Imaging Naples, LLC | Radiology | 260 Tamiami Trail N, Naples, FL 34102 | 2008-02-07 |
| 1053595017 | Marlene Ann Diaczynsky | Registered Nurse | 350 7th Street North, Naples Community Hospital, Naples, FL 34102 | 2007-12-26 |
| 1699958330 | Georgiena Cobb | Counselor | 501 Goodlette Rd, Naples, FL 34102 | 2007-12-17 |
| 1124210158 | Maranatha Home Care, Inc. | Registered Nurse | 1164 Goodlette Road, Naples, FL 34102 | 2007-08-14 |
| 1669678645 | Naples Family Dentistry Inc | Dentist | 2176 Tamiami Trail North, Naples, FL 34102 | 2007-06-26 |
| Find all providers in zip 34102 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992775589 | Michael Terrance Havig | Orthopaedic Surgery | 1250 Pine Ridge Rd Ste 202, Naples, FL 34108-8913 | 2006-01-25 |
| 1518118462 | Brian Robert Wallace | Orthopaedic Surgery | 1250 Pine Ridge Rd, Suite 203, Naples, FL 34108-8913 | 2008-10-08 |
| 1467642363 | Collier Sports Medicine and Orthopaedic Center Pa | Orthopaedic Surgery | 1706 Medical Blvd, Suite 201, Naples, FL 34110-1400 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
| 1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
| 1750913141 | Tyrance Orthopedics and Sports Medicine | Orthopaedic Surgery | 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 | 2020-02-04 |
| 1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
| 1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
| 1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
| 1578043998 | Bahri Orthopedics Institute | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-08-15 |
| 1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
| 1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
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| 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.