DR. CHRISTOPHER LEE REARDON


Address: 650 E Indian School Rd, Carl T. Hayden Va Medical Center, Phoenix, AZ 85012-1839
Phone: 6022775551

DR. CHRISTOPHER LEE REARDON (NPI# 1487683298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487683298
Entity Type Individual
Full Name DR. CHRISTOPHER LEE REARDON
Credential PH.D. M.D.
Practice Address 650 E Indian School Rd
Carl T. Hayden Va Medical Center
Phoenix
AZ 85012-1839
Practice Telephone 6022775551
Practice Fax Number 6022006005
Mailing Telephone 6022775551
Mailing Fax Number 6022006005
Enumeration Date 2006-07-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 30050 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 0130008 05

Other Providers CHRISTOPHER REARDON

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1376168369 Christopher John Reardon Anesthesiology 167 Ashley Ave, Charleston, SC 29425-8905 2020-06-15
1578946760 Christopher Charles Reardon Counselor 1318 N Avalon Blvd, Wilmington, CA 90744-2639 2015-07-07

Office Location

Street Address 650 E INDIAN SCHOOL RD
CARL T. HAYDEN VA MEDICAL CENTER
City PHOENIX
State AZ
Zip Code 85012-1839

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679579213 Carlos J Carrera Psychiatry & Neurology 650 E Indian School Rd, Phoenix, AZ 85012-1839 2005-06-27
1568063220 Lucas Alan Bodine Physical Therapist 650 E Indian School Rd, Phoenix, AZ 85012-1839 2020-11-07
1417558206 Elijah Robles Lazo Physical Medicine & Rehabilitation 650 E Indian School Rd, Phoenix, AZ 85012-1839 2020-11-06
1871191486 Samantha Roberts Social Worker 650 E Indian School Rd, Phoenix, AZ 85012-1839 2020-10-15
1760099667 Dino Alihodzic Psychologist 650 E Indian School Rd, Phoenix, AZ 85012-1839 2020-09-25
1659986768 Jennica Lynne Failner Social Worker 650 E Indian School Rd, Phoenix, AZ 85012-1839 2020-09-15
1568074557 Danielle Marie Mcgraw Psychologist 650 E Indian School Rd, Phoenix, AZ 85012-1839 2020-08-20
1841802055 Courtney Loera Pharmacist 650 E Indian School Rd, Phoenix, AZ 85012-1839 2020-08-19
1659980613 Nakia Andrea Willis Social Worker 650 E Indian School Rd, Phoenix, AZ 85012-1839 2020-07-27
1487263430 Lauren Larue Waznik Dietitian, Registered 650 E Indian School Rd, Phoenix, AZ 85012-1839 2020-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881205417 Diligence Physical Therapy and Wellness, Pllc Physical Therapist 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 2020-08-17
1962023135 Kelee Jade Forst Student in an Organized Health Care Education/Training Program 4001 N Third Street, Suite 290, Phoenix, AZ 85012 2020-04-29
1659911428 Thomas James Blake Social Worker Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 2020-01-09
1598259467 Luis F Fong Registered Nurse 3620 N. 3rd Street, Phoenix, AZ 85012 2018-06-14
1881196335 Phoenix Surgical Solutions Pllc Surgery 6120 W Bell Rd Suite 130, Glendale, AZ 85012 2018-03-01
1679082523 Christopher Ferguson Physician Assistant 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 2017-09-22
1861911323 Viet Quoc Truong Physician Assistant 650 E Indian School Rd # 1, Phoenix, AZ 85012 2017-09-15
1720506389 Erin Lynne Cody Nurse Practitioner 3003 N. 3rd St, Phoenix, AZ 85012 2017-09-05
1346694627 Sharareh Najafi Psychologist 3450 N. 3rd Street, Phoenix, AZ 85012 2016-04-22
1548635824 Rebekah June Daroff Specialist/Technologist 352 N Camelback Rd, Phoenix, AZ 85012 2015-12-11
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902427735 Derma Healthcare Solutions Pllc Dermatology 4716 E Thunderbird Rd, Phoenix, AZ 85032-5541 2020-05-04
1114485646 Saguaro Dermatology Associates LLC Dermatology 3400 E Mcdowell Rd Fl 2, Phoenix, AZ 85008-3884 2019-03-04
1396122727 Thomas Lee Dermatology 2525 W Carefree Hwy Ste 144, Phoenix, AZ 85085-6096 2015-05-06
1790174167 Kelly Christine Collins Dermatology 42211 N 41st Dr. #a109, Phoenix, AZ 85086 2015-01-22
1215374186 Ramin Fathi Dermatology 4550 E Bell Rd Bldg 5, Phoenix, AZ 85032-9390 2013-05-31
1699087809 Morgan James Mackey Dermatology 9327 N 3rd St Ste 206, Phoenix, AZ 85020-2473 2010-07-06
1609900299 Lindsay Skye Ackerman Dermatology 1331 N 7th St Ste 250, Phoenix, AZ 85006-2722 2007-03-15
1538238373 Susan Il Iorio Dermatology 4400 N. 32nd Street, Ste250, Phoenix, AZ 85018 2006-11-07
1598869687 Mark Richard Rosenberg Dermatology 20950n Tatum Blvd 350, Phoenix, AZ 85050-4256 2006-09-11
1538272596 Peter J. Casper Dermatology 2928 N 18th Pl, Peter J. Casper, M.d., Phoenix, AZ 85016-7705 2006-08-16
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Competitor

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City PHOENIX
Zip Code 85012

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Dataset Information

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.

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