MICHAEL A. REARDON (NPI# 1740448497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740448497 |
| Entity Type | Individual |
| Full Name | MICHAEL A. REARDON |
| Credential | M.D. |
| Practice Address |
3155 Maplewood Ave Winston Salem NC 27103-3903 |
| Mailing Address |
3010 Trenwest Dr Winston Salem NC 27103-3208 |
| Practice Telephone | 3369705300 |
| Practice Fax Number | 3369705298 |
| Mailing Telephone | 3369705300 |
| Mailing Fax Number | 3369705298 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
201501881 | NC | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
0101248087 | VA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
201501881 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| 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 |
| 1427258409 | Michael Douglas Reardon | Dentist | 2315 Hickory Valley Rd, Chattanooga, TN 37421-1723 | 2007-07-19 |
| 1487607057 | Michael S Reardon | Radiology | 900 Welch Rd, Suite 101, Palo Alto, CA 94304-1805 | 2006-05-18 |
| 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 |
3155 MAPLEWOOD AVE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194709154 | Scott T Steffen | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103-3903 | 2005-12-02 |
| 1063621332 | Kevin T Llewellyn | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103-3903 | 2007-05-22 |
| 1366556862 | Excel Imaging LLC | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103-3903 | 2006-08-19 |
| 1043231889 | Donald J Wenzel | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103-3903 | 2006-07-21 |
| 1033140439 | Marcella Marcia Butler | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103 | 2006-07-05 |
| 1902836448 | Patrick S Markwalter | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103 | 2006-07-03 |
| 1659301984 | Lee Ann Naylor | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103 | 2006-07-03 |
| 1104862176 | Thomas Hamilton Milner IIi | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103-3903 | 2006-06-20 |
| 1396796322 | James M Davis IIi | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103-3903 | 2006-05-15 |
| 1639128713 | Alfred L Baker | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103-3903 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1356623714 | Paula Valeria Vergara-wentland | Radiology | 455 Summergate Dr, Winston Salem, NC 27103-5538 | 2011-09-12 |
| 1508175043 | Nrs Arizona, Pa | Radiology | 792 Roslyn Rd, Winston Salem, NC 27104-2122 | 2010-10-01 |
| 1972824688 | Jeffrey Russell Sachs | Radiology | 1 Medical Ctr Blvd, Wfubmc House Staff Office, Winston Salem, NC 27157 | 2010-06-16 |
| 1083848824 | Jonathan M Day | Radiology | Wake Forest University Baptist Medical C, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2009-05-07 |
| 1972763357 | Wake Forest Baptist Imaging, LLC | Radiology | 265 Executive Park Blvd, Winston Salem, NC 27103-1503 | 2008-06-10 |
| 1942470844 | Q Brenda Ye | Radiology | 1 Medical Center Blvd Wfubmc Dept of Radiology, Winston Salem, NC 27157-0001 | 2008-03-06 |
| 1053595439 | Shane Christopher Masters | Radiology | Wfuhs Department of Radiology, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-12-21 |
| 1134151814 | Daniel Howard Golwyn Jr. | Radiology | Wake Forest School of Medicine, Medical Center Blvd., Winston Salem, NC 27157-1088 | 2006-07-06 |
| 1679530067 | Joseph C Contento | Radiology | 3155 Maplewood Avenue, Winston Salem, NC 27103 | 2006-04-28 |
| 1841279718 | Helena G Summers | Radiology | 3010 Trenwest Dr, Winston Salem, NC 27103-3208 | 2006-01-10 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on MICHAEL A. REARDON.
| 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.