DR. SCOTT T REARDON


Address: 3000 32nd Ave S, Fargo, ND 58103-6132
Phone: 7013648000

DR. SCOTT T REARDON (NPI# 1598797896) 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) 1598797896
Entity Type Individual
Full Name DR. SCOTT T REARDON
Credential M.D.
Practice Address 3000 32nd Ave S
Fargo
ND 58103-6132
Mailing Address Po Box 6001
Fargo
ND 58108-6001
Practice Telephone 7013648000
Practice Fax Number 7013648078
Mailing Telephone 7013648000
Mailing Fax Number 7013648078
Enumeration Date 2006-07-07
Last Update Date 2013-11-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
12676 ND Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
51530 MN Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
3063410 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ND 18210 05

Office Location

Street Address 3000 32ND AVE S
City FARGO
State ND
Zip Code 58103-6132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073506648 Randy K Metcalf Thoracic Surgery (Cardiothoracic Vascular Surgery) 3000 32nd Ave S, Fargo, ND 58103-6132 2005-08-29
1861006504 Hallie M Tiffany Nurse Practitioner 3000 32nd Ave S, Fargo, ND 58103-6132 2020-09-01
1144846452 Andrea Patrice Solberg Nurse Practitioner 3000 32nd Ave S, Fargo, ND 58103-6132 2020-06-23
1669098976 Nathaniel James Piersol Nurse Anesthetist, Certified Registered 3000 32nd Ave S, Fargo, ND 58103-6132 2020-06-23
1710503545 Emily Olivia Miranda Nurse Practitioner 3000 32nd Ave S, Fargo, ND 58103-6132 2020-06-17
1619500642 Collin Docter Physical Therapist 3000 32nd Ave S, Fargo, ND 58103-6132 2020-02-18
1386276863 Corey David Bos Nurse Anesthetist, Certified Registered 3000 32nd Ave S, Fargo, ND 58103-6132 2020-02-12
1619508587 Stephanie Lee Piirainen Student in an Organized Health Care Education/Training Program 3000 32nd Ave S, Fargo, ND 58103-6132 2020-01-30
1386274918 Melissa Ann Knopik Nurse Practitioner 3000 32nd Ave S, Fargo, ND 58103-6132 2020-01-23
1205475126 Jerika A Decker Physician Assistant 3000 32nd Ave S, Fargo, ND 58103-6132 2019-12-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1285298240 Ann Louise Breen Optometrist Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 2019-04-25
1245706597 Lisa Elaine Livingston Counselor 1337 14 and Half St. S., Fargo, ND 58103 2018-10-15
1528569662 Misty Lynn Hagen Counselor 901 28th St. South, Suite B, Fargo, ND 58103 2018-02-23
1083133011 Faith Homecare Professionals LLC Home Health 304 25th St S, Suite B, Fargo, ND 58103 2017-09-11
1982138749 Matthew Troyer Pharmacist 2425 13th Ave, Fargo, ND 58103 2017-04-18
1801338504 Amy Nguyen Christianson Chiropractor 1650 45th St S Ste 113, Fargo, ND 58103 2016-11-11
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1831647940 Abigail Carmen Burkett Vetter Nurse Practitioner 2928 University Dr S Suite 101, Fargo, ND 58103 2016-09-18
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346267812 Francisco V Ouano Radiology 2907 32nd St S, Fargo, ND 58103-7863 2006-07-17
1114942372 Kathleen Ann Wood Radiology 705 13th Ave N, Apt. 310, Fargo, ND 58102-2680 2006-07-12
1649251224 Martha Slade Kearns Radiology 23 Briarwood Pl, Fargo, ND 58104-7308 2005-11-09
1528062924 Mark F Fisher Radiology 801 Broadway N, Fargo, ND 58102-3641 2005-06-13
1588078513 Michael Samuel Lucin Radiology 801 Broadway N, Fargo, ND 58102-3641 2014-06-18
1447661285 Tarik Nurkic Radiology 5225 23rd Ave S, Fargo, ND 58104-7927 2014-05-14
1528328754 Matthias M Albin Radiology 3000 32nd Ave S, Fargo, ND 58103 2012-05-22
1437418993 Safia Hope Cheeney Radiology 801 Broadway N, Fargo, ND 58102-3641 2012-05-03
1922396993 Adam F Stibbe Radiology 3000 32nd Ave S, Fargo, ND 58103-6132 2011-07-12
1568754521 Aaron Richard Jones Radiology 3000 32nd Ave S, Department of Radiology, Essentia Health, Fargo, ND 58103-6132 2011-05-10
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City FARGO
Zip Code 58103

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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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