MR. REAGAN B ANDERSON (NPI# 1356334965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356334965 |
| Entity Type | Individual |
| Full Name | MR. REAGAN B ANDERSON |
| Credential | D.O. |
| Practice Address |
8580 Scarborough Dr Suite 225 Colorado Springs CO 80920-7586 |
| Practice Telephone | 7195315400 |
| Practice Fax Number | 7195319545 |
| Mailing Telephone | 7195315400 |
| Mailing Fax Number | 7195319545 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 48132 | CO | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
DR.0048132 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
8580 SCARBOROUGH DR SUITE 225 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-7586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983655 | Melinda Ann Richey | Physician Assistant | 8580 Scarborough Dr, Suite 225, Colorado Springs, CO 80920-7583 | 2005-06-24 |
| 1598111999 | Brandon Michael Basehore | Dermatology | 8580 Scarborough Dr, Colorado Springs, CO 80920-7583 | 2016-05-04 |
| 1538581301 | Briklin Nielsen | Dentist | 8580 Scarborough Dr, Suite 220, Colorado Springs, CO 80920-7583 | 2014-01-14 |
| 1780933077 | Lisa Kenner | Specialist/Technologist, Other | 8580 Scarborough Dr, Suite 125, Colorado Springs, CO 80920-7583 | 2012-09-03 |
| 1548592363 | Rational Dermatology, PC | Dermatology | 8580 Scarborough Dr, Suite 225, Colorado Springs, CO 80920-7586 | 2010-02-03 |
| 1528206976 | Robert Corr, PC | Clinic/Center | 8580 Scarborough Dr, Suite 201, Colorado Springs, CO 80920-7583 | 2009-01-22 |
| 1144427899 | James Lee Md PC | Ophthalmology | 8580 Scarborough Dr, Suite 125, Colorado Springs, CO 80920-7502 | 2007-06-27 |
| 1982702239 | Samantha M Jordan | Dermatology | 8580 Scarborough Dr, Suite 225, Colorado Springs, CO 80920-7583 | 2006-09-20 |
| 1396772372 | James H Lee | Ophthalmology | 8580 Scarborough Dr, Suite 125, Colorado Springs, CO 80920-7502 | 2006-06-27 |
| 1538130752 | Ryan Michael Jack | Dentist | 8580 Scarborough Dr, #200, Colorado Springs, CO 80920-7583 | 2006-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392973 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 2060 Briargate Pkwy Ste 150, Colorado Springs, CO 80920-7660 | 2020-10-02 |
| 1598171423 | Natalie R Edgar | Dermatology | 215 S Parkside Dr Ste 2015, Colorado Springs, CO 80910-3131 | 2014-07-11 |
| 1457766487 | Nickolas Evangelos Poulos | Dermatology | 6071 E Woodmen Rd Ste 230, Colorado Springs, CO 80923-2607 | 2014-06-28 |
| 1699021386 | Mountaintop Dermatology, Pllc | Dermatology | 2465 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1089 | 2012-07-31 |
| 1487759254 | Ronald A Johnson | Dermatology | Ste 200 1665 Briargate Blvd, Colorado Springs, CO 80920-3400 | 2006-09-14 |
| 1700993409 | James A Mccoy | Dermatology | 625 N Cascade Ave Ste 105, Colorado Springs, CO 80903-3271 | 2006-08-25 |
| 1801901517 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 170 Parkside Dr, Colorado Springs, CO 80910-3129 | 2006-08-20 |
| 1598708737 | Lee H Blatt | Dermatology | 3229 W Carefree Cir, Colorado Springs, CO 80917-3004 | 2006-06-14 |
| 1629037395 | Frank Mark Samarin | Dermatology | 2465 Research Parkway, Suite 200, Colorado Springs, CO 80920 | 2006-03-21 |
| 1255322319 | Paige L. Neifert | Dermatology | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 | 2005-10-28 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
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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.