ZACHARY DAVID REARDON (NPI# 1073804209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073804209 |
| Entity Type | Individual |
| Full Name | ZACHARY DAVID REARDON |
| Credential | MD |
| Practice Address |
168 Mobile Infirmary Blvd Mobile AL 36607-3510 |
| Mailing Address |
4752 Old Shell Rd Mobile AL 36608-2333 |
| Practice Telephone | 2514331895 |
| Mailing Telephone | 2398512271 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2017-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 35016 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 185075 | 05 |
| Street Address |
168 MOBILE INFIRMARY BLVD |
| City | MOBILE |
| State | AL |
| Zip Code | 36607-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710080932 | Autry Greer Megginson | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-09-06 |
| 1679109755 | Dena Elise Perry | Nurse Practitioner | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2020-03-20 |
| 1326561135 | Virginia Diane Duckworth | Nurse Practitioner | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2017-07-24 |
| 1144637307 | Stefanie Miller | Nurse Practitioner | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2014-07-18 |
| 1770723447 | Urology Associates of Mobile | Specialist | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2009-02-20 |
| 1659450666 | Matthew Griffin Mcintyre | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-11-02 |
| 1619070018 | Charles Fox White Jr. | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-09-07 |
| 1528161924 | Paul Anthony Scott Sr. | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-09-07 |
| 1376646505 | Guy Coleman Oswalt Jr. | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-09-06 |
| 1285737437 | Dino Nicholas Frangos | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-09-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821404559 | Cindy Strahan | Occupational Therapy Assistant | 2900 Sping Hill Ave, Mobile, AL 36607 | 2014-07-02 |
| 1043649072 | Rebecca Clara Eskridge | Speech-Language Pathologist | 200 C East Portier Ct., Mobile, AL 36607 | 2013-11-12 |
| 1497016794 | Gregory Mark Quatrino | Surgery | 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 | 2012-06-03 |
| 1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
| 1679711956 | Sheldon Scott Bradley | Nurse Practitioner | 1 Infirmary Circle, Mobile Infirmary Er, Mobile, AL 36607 | 2009-01-26 |
| 1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
| 1811035322 | George N Lukes | Dentist | 2653a Old Shell Road, Mobile, AL 36607 | 2007-02-05 |
| 1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
| 1790871242 | Cheryl Lambert Thames | Physical Therapist | 2006 Airport Blvd., Mobile, AL 36607 | 2006-10-04 |
| 1760576227 | Jane Bagwell Hale | Physical Therapist | 3202 Old Shell Road, Mobile, AL 36607 | 2006-10-02 |
| Find all providers in zip 36607 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134380496 | William Jefferson Terry Jr. | Urology | 3290 Dauphin St Ste 301, Mobile, AL 36606-4052 | 2008-06-19 |
| 1710080932 | Autry Greer Megginson | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-09-06 |
| 1922176973 | Bay Urology Services, P.C. | Urology | 6701 Airport Blvd, Ste B111, Mobile, AL 36608-6705 | 2006-11-30 |
| 1659450666 | Matthew Griffin Mcintyre | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-11-02 |
| 1619070018 | Charles Fox White Jr. | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-09-07 |
| 1528161924 | Paul Anthony Scott Sr. | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-09-07 |
| 1376646505 | Guy Coleman Oswalt Jr. | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-09-06 |
| 1285737437 | Dino Nicholas Frangos | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-09-06 |
| 1114020377 | Selden Harbour Stephens IIi | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-09-06 |
| 1194828368 | Urology Associates of Mobile, P.a. | Urology | 168 Mobile Infirmary Blvd, Mobile, AL 36607-3510 | 2006-09-06 |
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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.