TIMOTHY JOHN REGAN (NPI# 1467436618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467436618 |
| Entity Type | Individual |
| Full Name | TIMOTHY JOHN REGAN |
| Credential | MD |
| Practice Address |
12175 Aberdeen St Ne Blaine MN 55449-4717 |
| Practice Telephone | 7637854200 |
| Practice Fax Number | 7637853314 |
| Mailing Telephone | 7637854200 |
| Mailing Fax Number | 7637853314 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 26299 | MN | 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 |
| 1891719050 | Timothy Regan | Emergency Medicine | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2006-07-27 |
| 1942296421 | Timothy Daniel Regan | Dentist | 530 Plaza Ct, Sand Springs, OK 74063-7915 | 2005-09-21 |
| Street Address |
12175 ABERDEEN ST NE |
| City | BLAINE |
| State | MN |
| Zip Code | 55449-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215911466 | Carol L Sarpal | Family Medicine | 12175 Aberdeen St Ne, Blaine, MN 55449-4717 | 2005-12-01 |
| 1083698666 | William Scott Sievert | Family Medicine | 12175 Aberdeen St Ne, Blaine, MN 55449-4717 | 2005-12-06 |
| 1558345157 | Suzanne S Teragawa | Family Medicine | 12175 Aberdeen St Ne, Blaine, MN 55449-4717 | 2005-12-06 |
| 1104800358 | John W Stoulil | Physician Assistant | 12175 Aberdeen St Ne, Blaine, MN 55449-4717 | 2005-12-01 |
| 1710961966 | Richard B Hathaway | Physician Assistant | 12175 Aberdeen St Ne, Blaine, MN 55449-4717 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| 1881168441 | Ear Institutes, LLC | Otolaryngology | 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 | 2019-01-17 |
| 1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
| 1043719016 | Robin Lynn Broen | Registered Nurse | 3012 129th Ave Ne, Blaine, MN 55449 | 2018-02-06 |
| 1194197368 | Lund Health Professional Corporation | Chiropractor | 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 | 2015-10-27 |
| 1871989806 | Blaine Wp II, LLC | Assisted Living Facility | 12402 Jamestown Street Ne, Blaine, MN 55449 | 2015-04-07 |
| 1154761633 | Jean Budge | Marriage & Family Therapist | 11800 Aberdeen Street Ne, Suite 100, Blaine, MN 55449 | 2013-06-28 |
| 1295013498 | Jeff K Yu | Veterinarian | 11850 Aberdeen St Ne, Blaine, MN 55449 | 2011-07-22 |
| 1528394707 | Julie Ann Eibensteiner | Physical Therapist | 11304 Davenport Circle Ne #a, Minneapolis, MN 55449 | 2009-10-23 |
| 1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
| Find all providers in zip 55449 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932412970 | Ian Manuel Guerrero Corpus | Family Medicine | 3437 125th Dr Ne Unit C, Blaine, MN 55449-6139 | 2010-07-20 |
| 1043319551 | Marta S Kazymyra | Family Medicine | 377 C St, Blaine, WA 98230-4209 | 2006-09-21 |
| 1346358926 | Ronald E. Rehmann | Family Medicine | 8891 Airport Rd Ne Ste 2b, Blaine, MN 55449-7247 | 2006-08-25 |
| 1093724825 | Peter Michael Yawn | Family Medicine | 1420 109th Ave Ne, Blaine, MN 55449-3602 | 2006-08-08 |
| 1467415125 | Jennifer S Auge | Family Medicine | 10705 Town Square Dr Ne, Suite 100, Blaine, MN 55449-8184 | 2006-04-11 |
| 1497721765 | Brett Adams | Family Medicine | 11855 Ulysses St Ne Ste 110, Blaine, MN 55434-3948 | 2006-02-27 |
| 1215911466 | Carol L Sarpal | Family Medicine | 12175 Aberdeen St Ne, Blaine, MN 55449-4717 | 2005-12-01 |
| 1912437153 | Laura Brudecki | Family Medicine | 880 Rutledge Pike, Blaine, TN 37709-2317 | 2017-06-19 |
| 1124406145 | Leah Embree | Family Medicine | 8097 Harborview Rd, Blaine, WA 98230-9639 | 2015-05-11 |
| 1770717639 | Caroline Barusya | Family Medicine | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2009-05-07 |
| Find all providers in BLAINE | ||||
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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.