DR. DAVID EARL REAGIN (NPI# 1174619522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174619522 |
| Entity Type | Individual |
| Full Name | DR. DAVID EARL REAGIN |
| Credential | M.D. |
| Practice Address |
1310 Southern Ave Se Washington DC 20032-4623 |
| Mailing Address |
3604 South Pl Alexandria VA 22309-2201 |
| Practice Telephone | 2025746554 |
| Practice Fax Number | 2022797329 |
| Mailing Telephone | 7037809328 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZD0900X |
Pathology Specialization: Dermatopathology |
MD8494 | DC | Allopathic & Osteopathic Physicians |
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD8494 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
1310 SOUTHERN AVE SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748008 | Ker-shi Wang | Anesthesiology | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2005-08-30 |
| 1962000935 | Jane Francis Ndenka | Nurse Practitioner | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2020-10-13 |
| 1295355436 | Tonia Johnson | Physical Therapist | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2020-04-17 |
| 1023668746 | Yuri Paredes | Nurse Practitioner | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2019-09-14 |
| 1265995120 | Excel Care LLC | Pharmacy | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2019-04-08 |
| 1528522984 | Kaitlyn L Stockton | Speech-Language Pathologist | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2019-01-29 |
| 1043783905 | Qualinova Care Inc | Hospitalist | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2019-01-03 |
| 1689157331 | Gedeon Longtchi | Nurse Practitioner | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2018-09-10 |
| 1851806012 | Me & 2ns, LLC | Internal Medicine | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2017-12-11 |
| 1710408885 | Olivia Anaele-nwogu | Nurse Practitioner | 1310 Southern Ave Se, Washington, DC 20032 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265534671 | Chandra A Prabha | Pathology | 6825 16thst Nw, Washington, DC 20306-0001 | 2006-09-05 |
| 1811903974 | Michael C Royer | Pathology | Walter Reed Army Medical Ctr, 6900 Georgia Ave Nw, Washington, DC 20307-0001 | 2006-07-31 |
| 1083675698 | James Hallman | Pathology | 6825 16th St Nw, Washington, DC 20306-0003 | 2006-03-31 |
| City | WASHINGTON |
| Zip Code | 20032 |
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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.