MICHAEL S REARDON (NPI# 1487607057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487607057 |
| Entity Type | Individual |
| Full Name | MICHAEL S REARDON |
| Credential | M.D. |
| Practice Address |
900 Welch Rd Suite 101 Palo Alto CA 94304-1805 |
| Practice Telephone | 6506178655 |
| Practice Fax Number | 6503223416 |
| Mailing Telephone | 6506178655 |
| Mailing Fax Number | 6503223416 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A30575 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0012480 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861939100 | Michael Reardon | Counselor | 987 Rc Hoag Drive, Lionel R John Health Center, Salamanca, NY 14779-1365 | 2017-01-25 |
| 1144540022 | Michael James Reardon | Family Medicine | 41 Dunlop Rd, Huntington, NY 11743-3932 | 2010-06-02 |
| 1558372813 | Michael Joseph Reardon | Dentist | 2 Stark Ave, Dover, NH 03820-4263 | 2006-08-11 |
| 1447243712 | Michael L Reardon | Internal Medicine | 906 Wb Mclean Blvd, Cape Carteret, NC 28584-9211 | 2005-08-23 |
| 1710222385 | Michael Reardon | Hearing Instrument Specialist | 160 Winthrop Ave, Lawrence, MA 01843-3840 | 2012-12-07 |
| 1740448497 | Michael A. Reardon | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103-3903 | 2008-05-29 |
| 1427258409 | Michael Douglas Reardon | Dentist | 2315 Hickory Valley Rd, Chattanooga, TN 37421-1723 | 2007-07-19 |
| 1053363366 | Michael S. Reardon | Psychiatry & Neurology | 5301 Davis Ln Bldg A200, Austin, TX 78749-4062 | 2006-05-16 |
| 1124079678 | Michael E Reardon | Anesthesiology | 5151 Reed Rd, Suite 225-c, Columbus, OH 43220-2595 | 2006-05-12 |
| 1124095617 | Michael Reardon | Nurse Anesthetist, Certified Registered | 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073-6769 | 2006-03-02 |
| Street Address |
900 WELCH RD SUITE 101 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355794 | Ami Laws | Internal Medicine | 900 Welch Rd, Suite 103, Palo Alto, CA 94304-1805 | 2005-06-01 |
| 1356837538 | Elizabeth Spiteri | Medical Genetics | 900 Welch Rd, Palo Alto, CA 94304-1805 | 2018-07-10 |
| 1073018081 | Nicole Jean Prendergast | Student in an Organized Health Care Education/Training Program | 900 Welch Rd, Palo Alto, CA 94304-1805 | 2018-03-30 |
| 1437665643 | Shana White | Genetic Counselor, MS | 900 Welch Rd, Palo Alto, CA 94304-1805 | 2017-12-26 |
| 1740715853 | Sunny Patel | Student in an Organized Health Care Education/Training Program | 900 Welch Rd, Suite 350, Palo Alto, CA 94304-1805 | 2017-04-26 |
| 1427583533 | Cameron Mozayan | Student in an Organized Health Care Education/Training Program | 900 Welch Rd, Suite 350, Palo Alto, CA 94304 | 2017-04-26 |
| 1417481128 | Bryn Elizabeth Eisfelder | Student in an Organized Health Care Education/Training Program | 900 Welch Rd, Suite 350, Palo Alto, CA 94304-1805 | 2017-04-19 |
| 1952835357 | Daniel Thomas Rogan | Student in an Organized Health Care Education/Training Program | 900 Welch Rd, Suite 350, Palo Alto, CA 94304-1805 | 2017-04-12 |
| 1447783089 | Victor Sadauskas | Student in an Organized Health Care Education/Training Program | 900 Welch Rd, Suite 350, Palo Alto, CA 94304-1805 | 2017-04-11 |
| 1679006274 | Robert Conner Dixon | Student in an Organized Health Care Education/Training Program | 900 Welch Rd, Suite 350, Palo Alto, CA 94304-1805 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245673326 | Victoria A Young | Radiology | 725 Welch Rd Rm 1854, Palo Alto, CA 94304-1601 | 2013-04-09 |
| 1548499106 | Matthew Michael Bernbeck | Radiology | 1565 Stanford Ave, Palo Alto, CA 94306-1254 | 2009-07-03 |
| 1558509166 | Kirsten Alexandra Menn | Radiology | 243 Webster St, Palo Alto, CA 94301-1236 | 2009-02-04 |
| 1699954065 | Patrick Lee | Radiology | 470 University Ave, Palo Alto, CA 94301-1812 | 2007-11-01 |
| 1578767992 | Vythao Thi Tran | Radiology | 725 Welch Rd Rm 16814, Lucile Packard Childrens Hospital Dept. of Radiology, Palo Alto, CA 94304-1601 | 2007-06-11 |
| 1699709014 | Cheryl L Futerman | Radiology | 400 Channing Ave, Palo Alto, CA 94301-2801 | 2006-07-10 |
| 1073573093 | David Robert Moon | Radiology | 409 Fulton St, Palo Alto, CA 94301-1326 | 2006-03-24 |
| 1992770770 | Lester H Lee | Radiology | 893 Fielding Dr, Palo Alto, CA 94303-3646 | 2006-02-23 |
| 1568446979 | Ashwini Mysore Zenooz | Radiology | 806 Clara Dr, Palo Alto, CA 94303-3909 | 2005-11-30 |
| 1821610718 | Andrew Cummings | Radiology | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-05-13 |
| Find all providers in PALO ALTO | ||||
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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.