TERRENCE REAGAN (NPI# 1275627663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275627663 |
| Entity Type | Individual |
| Full Name | TERRENCE REAGAN |
| Credential | MD |
| Practice Address |
4005 High Resort Blvd Se Pmg High Resort 4005 Rio Rancho NM 87124-5906 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5054626000 |
| Practice Fax Number | 5054628472 |
| Mailing Telephone | 5059236770 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 92124 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | E4894 | 05 |
| Street Address |
4005 HIGH RESORT BLVD SE PMG HIGH RESORT 4005 |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992701759 | Doris Kay Gonzales | Nurse Practitioner | 4005 High Resort Blvd Se, Pmg Rio Rancho High Resort 4005, Rio Rancho, NM 87124-5906 | 2005-06-24 |
| 1770149395 | Kristyn Bilak | Registered Nurse | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2019-05-20 |
| 1770067167 | Jacqueline S Guinn | Family Medicine | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2018-09-20 |
| 1073033650 | David Allen Zarikta | Nurse Practitioner | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2017-06-23 |
| 1720538390 | Ludmila Zlatkin | Nurse Practitioner | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-10-07 |
| 1144774712 | Ebubechukwu Njemanze | Internal Medicine | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-08-11 |
| 1578016994 | Erin Nicole Etzel | Psychologist | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-08-02 |
| 1467801399 | Simone Green | Pediatrics | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-06-10 |
| 1003275959 | Shae Ray | Registered Nurse | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-02-21 |
| 1801252895 | Julio Cesar Hernandez Roman | Physician Assistant | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498748 | Sandia View Family Medicine, PC | Family Medicine | 4200 Meadowlark Ln Se Ste 2, Rio Rancho, NM 87124-1050 | 2020-08-20 |
| 1053952473 | Healthnm, LLC | Family Medicine | 3612 Plano Vista Rd Ne, Rio Rancho, NM 87124-4182 | 2019-10-07 |
| 1821598830 | G & M Medical Center LLC | Family Medicine | 1316 Jackie Rd Se Ste 500, Rio Rancho, NM 87124-6618 | 2018-02-16 |
| 1063848810 | Corazon Family Health PC | Family Medicine | 2220 Grande Blvd Se, Suite A, Rio Rancho, NM 87124-1687 | 2013-09-24 |
| 1992131924 | Atrinea Health LLC | Family Medicine | 111 Rio Rancho Blvd Se, Suite 108, Rio Rancho, NM 87124-7020 | 2013-09-23 |
| 1770895054 | Lilia Pedrego | Family Medicine | 3777 New Mexico Highway 528 Northeast, Rio Rancho, NM 87144 | 2010-07-02 |
| 1538333554 | Anthony Fleg | Family Medicine | 3001 Boradmoor Blvd Ne, Unm Sandoval Regional Medical Center, Rio Rancho, NM 87144 | 2008-04-22 |
| 1821119751 | Jana Lee Marjenhoff | Family Medicine | 632 Lakeview Cir Se, Rio Rancho, NM 87124-2226 | 2007-04-02 |
| 1417022740 | Lee Michael Robak | Family Medicine | 1316 Jackie Rd Se Ste 900, Rio Rancho, NM 87124-6612 | 2006-11-21 |
| 1194800334 | William Wallace Anderson | Family Medicine | 1400 Barbara Loop Se Ste A, Rio Rancho, NM 87124-1088 | 2006-10-26 |
| Find all providers in RIO RANCHO | ||||
| City | RIO RANCHO |
| Zip Code | 87124 |
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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.