DR. TIMOTHY REGAN (NPI# 1891719050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891719050 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY REGAN |
| Credential | MD |
| Practice Address |
1324 Lakeland Hills Blvd Lakeland FL 33805-4543 |
| Mailing Address |
4808 Lake Juliana Reserve Dr Auburndale FL 33823 |
| Practice Telephone | 8636871132 |
| Practice Fax Number | 8636871439 |
| Mailing Telephone | 4016191035 |
| Mailing Fax Number | 7275073618 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME94162 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124448238 | Timothy Regan | Specialist | 5329 Cobalt Ct, Cape Coral, FL 33904-5877 | 2014-04-16 |
| 1780891168 | Timothy Patrick Regan | Dentist | 46 Bethany Rd, Holmdel, NJ 07733-1411 | 2007-05-16 |
| 1730213729 | Timothy Patrick Regan | Dentist | 231 Pittston Ave, Scranton, PA 18505-1152 | 2007-03-14 |
| 1891071866 | Timothy J Regan | Pharmacist | 3522 W Wisconsin Ave, Milwaukee, WI 53208-3846 | 2011-10-22 |
| 1467436618 | Timothy John Regan | Family Medicine | 12175 Aberdeen St Ne, Blaine, MN 55449-4717 | 2005-12-01 |
| 1942296421 | Timothy Daniel Regan | Dentist | 530 Plaza Ct, Sand Springs, OK 74063-7915 | 2005-09-21 |
| Street Address |
1324 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489900 | James Francis Murray II | Obstetrics & Gynecology | 1324 Lakeland Hills Blvd, Pavilion, Lakeland, FL 33508 | 2005-07-01 |
| 1144821059 | Jennifer Mclaughlin | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-11-06 |
| 1861092595 | Hortense Marcia Watson | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-10-30 |
| 1073129953 | Lilia Yakubov | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-09-16 |
| 1093340374 | Rashika Battle | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-03-07 |
| 1871128363 | Maria Lana Barnes | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-03-05 |
| 1710519129 | Joshua Parker Thompson | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-02-04 |
| 1932741683 | Katie Elizabeth Deines | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-15 |
| 1700428968 | Jasmine Nazirbage | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-09 |
| 1578104824 | Kristopher Dillon Wilson | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902376973 | Dwic of Tampa Bay, Inc | Emergency Medicine | 3700 Us Highway 98 N Unit 101, Lakeland, FL 33809-3863 | 2018-12-03 |
| 1285657601 | Mark Andrew Foppe | Emergency Medicine | 441 Enclave Pl, Lakeland, FL 33803-5457 | 2006-07-26 |
| 1427091578 | Enrique Verges-bonet | Emergency Medicine | 2417 Us Highway 98 N, Lakeland, FL 33805-2410 | 2006-06-14 |
| 1821040676 | Jose Luis Marichal | Emergency Medicine | 4535 Mount View Dr, Lakeland, FL 33813-1757 | 2006-05-17 |
| 1184676025 | Demetra Bennett | Emergency Medicine | 930 Marcum Rd Ste 5, Lakeland, FL 33809-4308 | 2006-05-17 |
| 1861441180 | Alex Rola | Emergency Medicine | 1324 Lakeland Hills Boulevard, Emergency Department, Lakeland, FL 33805 | 2006-05-06 |
| 1205821287 | Anandavalli Krishnamoorthy | Emergency Medicine | 936 E Parker St, Lakeland, FL 33801-1968 | 2005-09-15 |
| 1679960595 | John Tyler Steubs | Emergency Medicine | 5040 Us Highway 98 N, Lakeland, FL 33809 | 2015-04-17 |
| 1033508429 | Haley Watsky | Emergency Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2015-01-22 |
| 1770996183 | Richard Brown | Emergency Medicine | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2014-06-04 |
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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.