REAGAN MEDICAL CENTER (NPI# 1699388231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699388231 |
| Entity Type | Organization |
| Organization Name | REAGAN MEDICAL CENTER |
| Practice Address |
426 Exchange Blvd Ste 500 Bethlehem GA 30620-1797 |
| Mailing Address |
2878 Five Forks Trickum Rd Ste 2a Lawrenceville GA 30044-5896 |
| Practice Telephone | 6789992299 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | SATISH B PODDAR (MD) |
| Authorized Official Telephone | 6783448700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | REAGAN MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968372 | Reagan Medical Center | Neurological Surgery | 1295 Hembree Rd Ste 200, Roswell, GA 30076-5721 | 2020-09-24 |
| 1003426628 | Reagan Medical Center | Neurological Surgery | 1241 Friendship Rd Ste 110, Braselton, GA 30517-5609 | 2020-08-07 |
| 1285255216 | Reagan Medical Center | Neurological Surgery | 11780 Northfall Ln, Alpharetta, GA 30009-7964 | 2020-04-30 |
| 1467771832 | Reagan Medical Center | Specialist | 10160 Medlock Bridge Rd, Suite 100, Johns Creek, GA 30097-4419 | 2010-05-25 |
| 1649365750 | Reagan Medical Center | Family Medicine | 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535 | 2006-10-04 |
| 1952316747 | Reagan Medical Center | Neurological Surgery | 2878 Five Forks Trickum Rd, Ste 2a, Lawrenceville, GA 30044-5896 | 2006-07-30 |
| Street Address |
426 EXCHANGE BLVD STE 500 |
| City | BETHLEHEM |
| State | GA |
| Zip Code | 30620-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730747528 | Georgia Dental Professionals, PC | Dentist | 920 Loganville Hwy Ste 100, Bethlehem, GA 30620 | 2019-06-05 |
| 1518445683 | Bethlehem Dentistry, LLC | Dentist | 255 Gateway Drive, Suite 200, Bethlehem, GA 30620 | 2018-08-01 |
| 1881621233 | Manan I Shah | Ophthalmology | 14 Vision Street, Suite 100, Bethlehem, GA 30620 | 2006-06-28 |
| 1871088997 | Stephanie Grace Bair | Occupational Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2018-06-30 |
| 1588159958 | John David Williams | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2018-06-27 |
| 1023460938 | Virginia Persons Labella | Nurse Practitioner | 340 Exchange Blvd Ste 130, Bethlehem, GA 30620 | 2016-07-05 |
| 1649656356 | Kimberly Christine Thomas | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2015-08-04 |
| 1336468131 | Manan I Shah Md PC | Ophthalmology | 14 Vision Street, Suite 100, Bethlehem, GA 30620 | 2010-05-19 |
| 1265998454 | Dawn Crook | Community/Behavioral Health | 509 Harry Mccarty Rd, Bethlehem, GA 30620-1707 | 2019-02-13 |
| 1447667233 | Susan Hardy Leighty | Nurse Practitioner | 340 Exchange Blvd Ste 130, Bethlehem, GA 30620-1759 | 2014-07-14 |
| Find all providers in zip 30620 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295709566 | John R Cifelli | Neurological Surgery | 830 Ostrum St, Bethlehem, PA 18015 | 2006-02-14 |
| 1447224795 | Robert A Morrow X | Neurological Surgery | 2151 Emrick Blvd, Suite 201, Bethlehem, PA 18020-8039 | 2006-02-14 |
| 1912980608 | Ghodrat O Daneshdoost | Neurological Surgery | 1250 Greenwood Dr, Bethlehem, PA 18017-3677 | 2005-11-28 |
| 1629072996 | Robert P Marcincin | Neurological Surgery | 35 E Elizabeth Ave, Ste 38, Bethlehem, PA 18018-6505 | 2005-06-02 |
| 1215179239 | Andrew Rudolph Tsen | Neurological Surgery | 1770 Bathgate Rd, Suite 402, Bethlehem, PA 18017-7334 | 2009-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1457968372 | Reagan Medical Center | Neurological Surgery | 1295 Hembree Rd Ste 200, Roswell, GA 30076-5721 | 2020-09-24 |
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1831720408 | Jonathan Lau | Neurological Surgery | 1365 Clifton Rd Ne Ste B6168, Atlanta, GA 30322-1013 | 2020-01-31 |
| 1528612728 | The Neurological Institute of Savannah & Center for Spine, PC | Neurological Surgery | 101 St Josephs Candler Dr, Pooler, GA 31322-9579 | 2019-07-26 |
| 1770149478 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 2a Ed Moore Ct, Statesboro, GA 30458-5024 | 2019-05-17 |
| 1740758358 | Allspine Surgery Center-2 LLC | Neurological Surgery | 1944 Clairmont Rd, Decatur, GA 30033-3406 | 2018-11-13 |
| 1427531268 | Robert Burney II | Neurological Surgery | 101 Lakeview Dr, Hamilton, GA 31811-4365 | 2018-09-07 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1942727425 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 1805 Manning Dr, Vidalia, GA 30474-8921 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on REAGAN MEDICAL CENTER.
| 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.