MATTHEW JOSEPH REARDON (NPI# 1760482475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760482475 |
| Entity Type | Individual |
| Full Name | MATTHEW JOSEPH REARDON |
| Credential | M.D., MPH |
| Practice Address |
6 Office Park Cir Suite 100 Birmingham AL 35223-2512 |
| Mailing Address |
151 W Brooks Ave North Las Vegas NV 89030-3901 |
| Practice Telephone | 2057953125 |
| Practice Fax Number | 2057953001 |
| Mailing Telephone | 7022271835 |
| Mailing Fax Number | 7022274796 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2016-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
22741 | AL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 13742 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUECROSS BLUESHIELD | 51510445 | 01 |
| Street Address |
6 OFFICE PARK CIR SUITE 100 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35223-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023340502 | Lois A Donnelly | Chiropractor | 6 Office Park Cir, Suite 203, Birmingham, AL 35223-2512 | 2010-02-08 |
| 1356673933 | George B Donnelly | Chiropractor | 6 Office Park Cir, Suite 203, Birmingham, AL 35223-2512 | 2010-02-05 |
| 1689890626 | Mind Matters, P.C. | Psychiatry & Neurology | 6 Office Park Cir, Ste 202, Birmingham, AL 35223-2512 | 2007-04-18 |
| 1245351006 | Mary S. Whetsell | Psychologist | 6 Office Park Cir, Ste 202, Birmingham, AL 35223-2512 | 2007-04-02 |
| 1427177351 | Stewart D. Waddell | Psychiatry & Neurology | 6 Office Park Cir, Ste 202, Birmingham, AL 35223-2512 | 2007-03-29 |
| 1104944347 | Nancy P. Rousso | Social Worker | 6 Office Park Cir, Suite 304, Birmingham, AL 35223-2512 | 2007-03-26 |
| 1235270323 | Barbara C Solomon | Social Worker | 6 Office Park Cir, Suite 304, Birmingham, AL 35223-2512 | 2007-02-09 |
| 1679631964 | Judith Schulman Miller | Social Worker | 6 Office Park Cir, Suite 304, Birmingham, AL 35223-2512 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619403508 | David Schaeffer | Optometrist | 2737 Highway 280 S Ste 191, Mountain Brk, AL 35223 | 2017-05-11 |
| 1265887632 | Inheritance House | Community Based Residential Treatment Facility, Mental Illness | 2305 Montevallo Park Road, Birmingham, AL 35223 | 2016-05-04 |
| 1104200344 | Insight Therapy, LLC | Psychologist | 166 Office Park Dr., St. 245, Birmingham, AL 35223 | 2015-07-17 |
| 1003211871 | Protective Life | Family Medicine | 2801 Us 280, Birmingham, AL 35223 | 2014-10-23 |
| 1649614330 | Furnie Wesley Johnston | Orthopaedic Surgery | 3328 East Briarcliff, Birmingham, AL 35223 | 2013-04-24 |
| 1346594314 | Morgan Stacy King | Chiropractor | 16 Office Park Cir Ste 8, Mountain Brk, AL 35223 | 2012-10-30 |
| 1659637684 | Austin Adams | Otolaryngology | 2700 Highway 280 S Ste 300w, Mountain Brk, AL 35223 | 2012-04-04 |
| 1205165008 | Rebecca Winston Brewbaker | Pediatrics | 3940 Montclair Rd #404, Birmingham, AL 35223 | 2009-12-08 |
| 1891948949 | Birmingham Speech & Hearing Associates | Speech-Language Pathologist | 4 Office Park Circle Suite 301, Birmingham, AL 35223 | 2008-11-01 |
| 1255598884 | William Edgar Feist | Internal Medicine | 2801 Highway 280 South, Protective Life Insurance Company, Birmingham, AL 35223 | 2008-05-21 |
| Find all providers in zip 35223 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059212 | Southeast Medical Group LLC | General Practice | 1930 Edwards Lake Rd Ste 138b, Birmingham, AL 35235-3720 | 2019-02-11 |
| 1558898874 | B Vitality Pllc | General Practice | 3425 Colonnade Pkwy Ste C, Birmingham, AL 35243-2356 | 2017-05-17 |
| 1588028120 | Carli Erin Calderone | General Practice | 1129 52nd St S, Birmingham, AL 35222-3924 | 2016-04-10 |
| 1811327463 | Sudha Ramesh | General Practice | 125 20th Street South, Suite 103, Birmingham, AL 35233-3110 | 2013-11-19 |
| 1972818045 | Frank Jefferson Tombrello | General Practice | 2909 Thornhill Rd, Birmingham, AL 35213-3520 | 2010-08-13 |
| 1659524379 | Robert Henry Carlson IIi | General Practice | 5454 Overton Rd, Birmingham, AL 35210-4103 | 2008-10-25 |
| 1104010206 | Richard Leroy Ellis | General Practice | 2657 Park Lane Ct East--unit F, Birmingham, AL 35223 | 2007-08-31 |
| 1841480993 | Jodel Gazo Jampayas | General Practice | 255 W Oxmoor Rd, Birmingham, AL 35209-6343 | 2007-07-25 |
| 1083620496 | American Family Care, Inc. | General Practice | 9232 Parkway E, Birmingham, AL 35206-1509 | 2006-07-31 |
| 1598771990 | American Family Care, Inc. | General Practice | 1652 Montclair Rd, Birmingham, AL 35210-2410 | 2006-07-31 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35223 |
Please comment or provide details below to improve the information on MATTHEW JOSEPH 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.