GARY M REAGAN


Address: 209 Crossroads Pl, Suite 110, Mount Vernon, IL 62864-6254
Phone: 6182446710

GARY M REAGAN (NPI# 1417909060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417909060
Entity Type Individual
Full Name GARY M REAGAN
Credential MD
Practice Address 209 Crossroads Pl
Suite 110
Mount Vernon
IL 62864-6254
Mailing Address 209 Crossroads Pl 150
Mount Vernon
IL 62864-6546
Practice Telephone 6182446710
Practice Fax Number 6182446779
Mailing Telephone 6182446710
Enumeration Date 2006-05-16
Last Update Date 2015-07-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 036-064567 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 209 CROSSROADS PL
SUITE 110
City MOUNT VERNON
State IL
Zip Code 62864-6254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780678797 Crossroads Physician Corp Family Medicine 209 Crossroads Pl, Suite 120, Mount Vernon, IL 62864-6254 2005-09-06
1437698842 S Thomas Sehy Dpm LLC Podiatrist 209 Crossroads Pl, Suite 130, Mount Vernon, IL 62864-6545 2017-02-17
1407221484 Sonya Mckinney Nurse Practitioner 209 Crossroads Pl, Mount Vernon, IL 62864-6545 2015-12-02
1619214624 National Healthcare of Mt Vernon Inc Internal Medicine 209 Crossroads Pl, Suite 120, Mount Vernon, IL 62864-6545 2013-01-10
1962753277 National Healthcare of Mt Vernon Inc Clinic/Center 209 Crossroads Pl, Suite 120, Mount Vernon, IL 62864-6545 2012-09-26
1194980516 Crossroads Physician Corp Internal Medicine 209 Crossroads Pl, Suite 140, Mount Vernon, IL 62864-6545 2008-07-24
1801806039 Elizabeth D Cox Family Medicine 209 Crossroads Pl, Suite 140, Mount Vernon, IL 62864-6545 2006-08-09
1790725307 Chirag Dave Internal Medicine 209 Crossroads Pl, Suite 110, Mount Vernon, IL 62864-6545 2006-06-08
1912959578 Lawrence Hollander Surgery 209 Crossroads Pl, Suite #130, Mount Vernon, IL 62864-6254 2006-05-16
1699769612 Crossroads Physician Corp Family Medicine 209 Crossroads Pl, Suite 150, Mount Vernon, IL 62864-6254 2005-09-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619438892 Melissa Pryer Dietitian, Registered 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 2019-03-28
1487145454 Chiropractic Wellness Center of Mt Vernon, LLC. Chiropractor 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 2018-05-24
1851889208 Kimberly Tate Counselor 4110 North Water Place, Mt. Vernon, IL 62864 2018-05-01
1871907790 University Hematology Oncology Inc Specialist #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 2014-06-18
1457771677 Dynamic Counseling and Consultation Services Social Worker 3600 S Water Tower Pl, Mt Vernon, IL 62864 2014-04-27
1619239431 Judith C Morgan Counselor 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 2012-06-08
1073888624 James Brian Verges Counselor 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 2012-03-15
1720352271 Lucinda M. Holdren Counselor 16338 North Illinois Highway 37, Mount Vernon, IL 62864 2012-03-01
1780978627 Jamie M Orange Physical Therapy Assistant 19958 Fairfield Rd, Mt. Vernon, IL 62864 2011-06-08
1780978791 Wendy Marie Claytor Speech-Language Pathologist 600 E Il Hwy 15, Mount Vernon, IL 62864 2011-06-07
Find all providers in zip 62864

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750631891 Marc Janis Md Pllc Urology 150 Stevens Ave, Suite 109, Mount Vernon, NY 10550-2596 2012-09-17
1578755211 Cooper Urology, Inc. Ps Urology 1611 Buck Way, Mount Vernon, WA 98273-2596 2007-08-16
1104842103 Laurence M. Lee Urology 1311 E. Division Street, Mount Vernon, WA 98274 2006-07-14
1407841562 Northwest Urology Clinic Inc Urology 1311 E Division St, Mount Vernon, WA 98274-4134 2005-09-14
1881699908 David R Knowles Urology 4109 S Water Tower Pl, Mount Vernon, IL 62864-6293 2005-06-15
1447778642 Adit Shah Urology 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 2017-09-07
1457693244 Richard Von Ho Urology 1400 E Kincaid St, Mount Vernon, WA 98274-4127 2013-03-20
1104085588 Commonweath Urology Psc Urology 145 Newcomb Ave, Mount Vernon, KY 40456-2728 2008-06-02
1003937947 Sandra Jane Hadjinian Urology 1400 E Kincaid St, Mount Vernon, WA 98274-4127 2007-04-02
1720166812 Eugene Kee Hong Urology 1400 E. Kincaid Street, Skagit Regional Clinics-urology, Mount Vernon, WA 98274 2006-11-02
Find all providers in MOUNT VERNON

Competitor

Search similar providers

City MOUNT VERNON
Zip Code 62864

Improve Information

Please comment or provide details below to improve the information on GARY M REAGAN.

Dataset Information

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.

Trending Searches