JEFFREY MAURICE REAGAN (NPI# 1477750636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477750636 |
| Entity Type | Individual |
| Full Name | JEFFREY MAURICE REAGAN |
| Credential | M.D. |
| Practice Address |
4830 Highway 260 Ste 103 Lakeside AZ 85929-5851 |
| Practice Telephone | 9285378777 |
| Practice Fax Number | 9285371914 |
| Mailing Telephone | 9285378777 |
| Mailing Fax Number | 9285371914 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2014-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
49407 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
4830 HIGHWAY 260 STE 103 |
| City | LAKESIDE |
| State | AZ |
| Zip Code | 85929-5851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952352619 | Hugh Ryan Hall | Podiatrist | 4830 Highway 260 Ste 103, Lakeside, AZ 85929-5851 | 2006-05-15 |
| 1194132613 | Jeffrey M Reagan Md Pllc | Orthopaedic Surgery | 4830 Highway 260 Ste 103, Lakeside, AZ 85929-5851 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272700 | Pediatric Multicare West, LLC | Pediatrics | 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 | 2020-10-12 |
| 1841836285 | Changepoint Integrated Health | Community/Behavioral Health | 1920 West Commerce Dr, Lakeside, AZ 85929 | 2019-11-20 |
| 1184111692 | Statclinix Plc | Clinic/Center | 3457 W White Mountain Blvd, Lakeside, AZ 85929 | 2018-04-19 |
| 1154827863 | Advanced Health and Wellness Az | Clinic/Center | 4830 Highway 260 Ste 102, Lakeside, AZ 85929 | 2018-04-02 |
| 1740648260 | Ries Chiropractic and Rehabilitation Center LLC | Point of Service | 5658 Hwy 260 Ste 1, Lakeside, AZ 85929 | 2016-01-29 |
| 1912395807 | Samuel Jesus Rosero Garcia | Family Medicine | 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 | 2014-12-31 |
| 1104178326 | Ronald T. Watanabe | Chiropractor | 20 West White Mountain Road, Safeway Pharmacy, Lakeside, AZ 85929 | 2012-10-11 |
| 1962705442 | San Tan Behavioral Health Services | Non-emergency Medical Transport (VAN) | 1277 Hummingbird Circle, Lakeside, AZ 85929 | 2010-12-06 |
| 1609181718 | Freter Family Practice Pllc | Family Medicine | 5448 S. White Mountain Blvd, 270, Lakeside, AZ 85929 | 2010-08-12 |
| 1760701221 | Sierra Blanca Rehabilitation LLC | Skilled Nursing Facility | 3401 N Lockwood Dr, Lakeside, AZ 85929 | 2010-05-24 |
| Find all providers in zip 85929 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194132613 | Jeffrey M Reagan Md Pllc | Orthopaedic Surgery | 4830 Highway 260 Ste 103, Lakeside, AZ 85929-5851 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420126 | Joint Regenerative LLC | Orthopaedic Surgery | 4340 E Indian School Rd Ste 21-536, Phoenix, AZ 85018-5360 | 2019-01-04 |
| 1568811644 | Mullen Orthopedic Clinic Plc | Orthopaedic Surgery | 4852 E Baseline Rd Ste 107, Mesa, AZ 85206-4628 | 2016-06-08 |
| 1275821167 | Preston J Smith | Orthopaedic Surgery | 630 N Alvernon Way Ste 351, Tucson, AZ 85711-1838 | 2011-07-13 |
| 1518174515 | Brett Ledon Haywood | Orthopaedic Surgery | 7520 N Oracle Rd, Ste 200, Tucson, AZ 85704-4448 | 2007-05-17 |
| 1427175777 | Canyon Vista Bone & Joint Surgery, P.C. | Orthopaedic Surgery | 3941 E. Baseline Road #102, Gilbert, AZ 85234 | 2007-03-23 |
| 1508980582 | Scott Joseph Ellis | Orthopaedic Surgery | 726 N Greenfield Rd Ste 108, Gilbert, AZ 85234-5062 | 2007-03-16 |
| 1386693976 | Lance Winter | Orthopaedic Surgery | 7330 N 99th Ave Ste 325, Glendale, AZ 85307-3003 | 2006-05-09 |
| 1962467324 | Carl Dain Allred | Orthopaedic Surgery | 10238 E Hampton Ave Ste 301a, Mesa, AZ 85209 | 2006-04-19 |
| 1619957008 | Craig Hollis Weinstein | Orthopaedic Surgery | 3487 S Mercy Rd, Gilbert, AZ 85297-0430 | 2006-01-20 |
| 1326030909 | Jeffrey Sheldon Levine | Orthopaedic Surgery | 1056 S Val Vista Dr, Suite #2, Mesa, AZ 85204-5667 | 2005-08-18 |
| Find all providers with the same taxonomy | ||||
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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.