MR. REAGAN EVAN ALBERT BRISTOL (NPI# 1578536199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578536199 |
| Entity Type | Individual |
| Full Name | MR. REAGAN EVAN ALBERT BRISTOL |
| Credential | DO |
| Practice Address |
3006 Campbell St Sandusky OH 44870-5381 |
| Practice Telephone | 4196279840 |
| Practice Fax Number | 4196279842 |
| Mailing Telephone | 4196279840 |
| Mailing Fax Number | 4196279842 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34006440B | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0256628 | 05 |
| Street Address |
3006 CAMPBELL ST |
| City | SANDUSKY |
| State | OH |
| Zip Code | 44870-5381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346222981 | Marsha D Cooper | Internal Medicine | 3006 Campbell St, Sandusky, OH 44870-5381 | 2005-11-18 |
| 1336525278 | Reagan E. A. Bristol, D.o. | Family Medicine | 3006 Campbell St, Sandusky, OH 44870-5381 | 2015-08-03 |
| 1982043022 | Northern Ohio Foot and Ankle Specialists, LLC | Podiatrist | 3006 Campbell St, Sandusky, OH 44870-5381 | 2013-06-21 |
| 1750664983 | Niharika Juwarkar | Internal Medicine | 3006 Campbell St, Sandusky, OH 44870-5381 | 2011-09-23 |
| 1811128077 | Thomas R. Conley | Family Medicine | 3006 Campbell St, Sandusky, OH 44870-5381 | 2009-08-05 |
| 1265583306 | North Central Ohio Medical Serv. | Specialist | 3006 Campbell St, Sandusky, OH 44870-5381 | 2007-01-16 |
| 1891733861 | Charlene Yug | Chiropractor | 3006 Campbell St, Sandusky, OH 44870-5381 | 2006-06-03 |
| 1861458333 | Nicholas A Brown | Podiatrist | 3006 Campbell St, Sandusky, OH 44870-5381 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
| 1154802080 | Kathryn Nicole Fisher | Counselor | 1975 Hayes Avenue, Sandusky, OH 44870 | 2018-08-28 |
| 1245727551 | Frank Lynn Fox Jr. | Audiologist | 1522 E Perkins Ave, Sandusky, OH 44870 | 2018-04-23 |
| 1689187338 | Marc Christian Lowe | Case Manager/Care Coordinator | 206 Brandon Blvd, Sandusky, OH 44870 | 2017-11-15 |
| 1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
| 1386194884 | Max King I | Counselor | 912 Sycamore Line Apt.3d, Sandusky, OH 44870 | 2016-10-07 |
| 1811349475 | Dannon C Smith | Nurse Practitioner | 266 E Perkins Aveneue, Sandusky, OH 44870 | 2016-07-07 |
| 1053774810 | Rachel Lynn Holbrook | Nurse Practitioner | 266 E Perkins Ave, Sandusky, OH 44870 | 2016-03-30 |
| 1700246295 | Caren Westbrooks | Home Health Aide | 168 W. Shoreway Drive, Sandusky, OH 44870 | 2016-02-26 |
| 1679962260 | Academy of Arts and Sciences | Local Education Agency (LEA) | 328 E. Monroe Street, Sandusky, OH 44870 | 2015-01-20 |
| Find all providers in zip 44870 | ||||
| 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 |
|---|---|---|---|---|
| 1578686036 | Anthony G Tesmond | Family Medicine | 2500 W Strub Rd Ste 120a, Sandusky, OH 44870-5390 | 2007-04-09 |
| 1205903309 | Edward Vincent Schlicht | Family Medicine | 3416 Columbus Avenue, Sandusky, OH 44870 | 2006-11-30 |
| 1730256546 | Issam Ahmad Al Turk | Family Medicine | 208 E Perkins Ave, Sandusky, OH 44870 | 2006-11-29 |
| 1093895039 | Lazaro Esguerra Javier | Family Medicine | 394 Loraine St, Sandusky, MI 48471-1074 | 2006-10-16 |
| 1538194295 | Joseph Von Kaenel | Family Medicine | 2800 Hayes Ave Bldg A, Sandusky, OH 44870-7249 | 2006-07-11 |
| 1225085855 | Northern Ohio Medical Specialists LLC | Family Medicine | 3004 Hayes Ave, Sandusky, OH 44870-5321 | 2006-05-28 |
| 1649220450 | Brian A Baxter | Family Medicine | 1326 E Perkins Ave, Sandusky, OH 44870-5025 | 2006-05-11 |
| 1467410076 | David J Grayson | Family Medicine | 5420 Milan Rd, Firelands Corporate Health, Sandusky, OH 44870-5846 | 2006-05-03 |
| 1780643056 | Louis Ralofsky | Family Medicine | 1604 E Perkins Ave Ste 106, Sandusky, OH 44870-5123 | 2006-03-23 |
| 1689646481 | James Jefferson Wysor | Family Medicine | 3103 Campbell St, Sandusky, OH 44870 | 2006-02-06 |
| Find all providers in SANDUSKY | ||||
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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.