KEVIN JAY REGAN (NPI# 1265524177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265524177 |
| Entity Type | Individual |
| Full Name | KEVIN JAY REGAN |
| Credential | PA C |
| Practice Address |
5400 Gibson Se Lovelace Medical Center Albuquerque NM 87108 |
| Mailing Address |
Po Box 27829 Lovelace Medical Group Albuquerque NM 87125 |
| Practice Telephone | 5052627000 |
| Mailing Telephone | 5052627026 |
| Mailing Fax Number | 5057279276 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA20030004 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1962918243 | Kevin Jacob Regan | Student in an Organized Health Care Education/Training Program | 26137 La Paz Rd Ste 230, Mission Viejo, CA 92691-5337 | 2017-12-21 |
| 1770635674 | Kevin J Regan | Chiropractor | 118 N Clinton St, Ste # 103, Chicago, IL 60661-2386 | 2007-01-18 |
| 1205823275 | Kevin W Regan | Internal Medicine | 430 Warrenville Rd, 210, Lisle, IL 60532 | 2005-10-04 |
| Street Address |
5400 GIBSON SE LOVELACE MEDICAL CENTER |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235162827 | Margaret M Hoemeke | Physician Assistant | 5400 Gibson Se, Albuquerque, NM 87108 | 2006-07-08 |
| 1225104946 | Lauri Lynn Montanez | Nurse Practitioner | 5400 Gibson Se, Lovelace Medical Center, Albuquerque, NM 87108 | 2006-11-27 |
| 1417023136 | Keith W Harvie | Orthopaedic Surgery | 5400 Gibson Se, Lovelace Medical Center, Albuquerque, NM 87108 | 2006-11-27 |
| 1508947466 | Phillip J Steinbaugh | Physician Assistant | 5400 Gibson Se, Albuquerque, NM 87108 | 2006-10-18 |
| 1245311034 | Teresa V Balcomb | Surgery | 5400 Gibson Se, Albuquerque, NM 87108 | 2006-10-18 |
| 1770683617 | Carolyn Johns | Nurse Practitioner | 5400 Gibson Se, Lovelace Medical Center, Albuquerque, NM 87108 | 2006-09-22 |
| 1922104322 | J Fredric Blackley | Radiology | 5400 Gibson Se, Albuquerque, NM 87108 | 2006-09-15 |
| 1851401723 | Bernard David Shepen | Internal Medicine | 5400 Gibson Se, Albuquerque, NM 87108 | 2006-08-30 |
| 1689681207 | John B Griffin | Audiologist | 5400 Gibson Se, Albuquerque, NM 87108 | 2006-08-03 |
| 1477569093 | Diane Vanek | Podiatrist | 5400 Gibson Se, Albuquerque, NM 87108 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013398072 | Lauren Soules | Physician Assistant | 3615 Highway 528 Nw, Albuquerque, NM 87114-8919 | 2015-06-16 |
| 1447666508 | Audrey Rich | Physician Assistant | 201 Cedar Ave, Albuquerque, NM 87106 | 2014-07-09 |
| 1104178813 | Adam M Newman | Physician Assistant | University of New Mexico Hospital Department, Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-10-04 |
| 1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
| 1982818860 | Kristen Marron Bushnell | Physician Assistant | Pmg At 8300 Constitution - General Surgery, 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2007-05-09 |
| 1629092457 | David A Mcculloch | Physician Assistant | 1501 San Pedro, Se, Va Medical Center, Albuquerque, NM 87108 | 2006-07-26 |
| 1861444143 | Beverly Heck Bierbach | Physician Assistant | Vamc, Ent Surgery, 1501 San Pedro, Se, Albuquerque, NM 87108-5153 | 2006-05-16 |
| 1881654218 | Paul Lee Armstrong | Physician Assistant | 13170 Central Ave Se Ste B345, Albuquerque, NM 87123 | 2006-03-28 |
| 1477535698 | Daryl Edson Smith | Physician Assistant | 4504 Waynesboro Rd Nw, Albuquerque, NM 87120-3823 | 2005-11-15 |
| 1366431355 | Michelle M Ruthmann | Physician Assistant | 8301 Spain Rd Ne, Albuquerque, NM 87109-3166 | 2005-10-21 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on KEVIN JAY REGAN.
| 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.