DR. SARA NICOLE REGGIE (NPI# 1265774673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265774673 |
| Entity Type | Individual |
| Full Name | DR. SARA NICOLE REGGIE |
| Credential | M.D. |
| Practice Address |
930 Madison Ave Ste 200 Memphis TN 38103 |
| Mailing Address |
1407 Union Ave Ste 700 Memphis TN 38104-3641 |
| Practice Telephone | 9014486650 |
| Mailing Telephone | 9018668003 |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 57501 | TN | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MD461515 | PA | Allopathic & Osteopathic Physicians |
| Y | 207WX0109X |
Ophthalmology Specialization: Neuro-ophthalmology |
57501 | TN | Allopathic & Osteopathic Physicians |
| N | 207WX0109X |
Ophthalmology Specialization: Neuro-ophthalmology |
MD461515 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3801 Filbert St, Philadelphia, PA 19104 | 2156628111 | |
| 930 Madison Ave Ste 200, Memphis, TN 381033452 | 9014486650 |
| Street Address |
930 MADISON AVE STE 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063473387 | Penny Asbell | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38163 | 2006-03-28 |
| 1699138222 | Jessica Lam | Optometrist | 930 Madison Ave Ste 200, Memphis, TN 38103-3452 | 2016-03-31 |
| 1376922948 | Michael Taylor Wallace | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38103 | 2015-05-28 |
| 1619388691 | Daniel Ofori | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38103-3452 | 2014-05-13 |
| 1871933473 | Robert Charles Binkley | Optometrist | 930 Madison Ave Ste 200, Memphis, TN 38103-3452 | 2013-06-27 |
| 1700148053 | Kourtney Henderson Houser | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38103 | 2012-06-12 |
| 1487829347 | Brian Montgomery Jerkins | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38163 | 2008-04-22 |
| 1093987893 | Brian T Fowler | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38103-3452 | 2008-04-01 |
| 1477636033 | Elliott Makary Kanner | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38103 | 2006-10-24 |
| 1104883701 | Matthew W Wilson | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38163 | 2006-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 207WX0109X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Neuro-ophthalmology |
| A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [7/1/2017: new] - Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org. |
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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.