JOHN EDWARD REARDON (NPI# 1679786354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679786354 |
| Entity Type | Individual |
| Full Name | JOHN EDWARD REARDON |
| Credential | M.D. |
| Practice Address |
4145 Carmichael Road Montgomery Cancer Center Montgomery AL 36106-2803 |
| Practice Telephone | 3342737000 |
| Practice Fax Number | 3342732386 |
| Mailing Telephone | 3342737000 |
| Mailing Fax Number | 3342732386 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2010-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
25742 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 111323 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467767533 | John M Reardon | Pharmacist | 513 Perry Hwy, Pittsburgh, PA 15229-1820 | 2010-08-13 |
| 1245350875 | John Clarence Reardon II | Chiropractor | 419 Main St # 312, Huntington Beach, CA 92648-5199 | 2007-03-29 |
| 1336246057 | John Foran Reardon | Dentist | 333 Main St N, Suite 111, Stillwater, MN 55082-5098 | 2006-09-17 |
| 1982008231 | John Reardon | Social Worker | 134 Thurbers Ave, Providence, RI 02905-4754 | 2014-10-15 |
| 1497938807 | John Michael Reardon | Psychologist | 2501 Capehart Rd, Bellevue, NE 68123 | 2007-12-07 |
| Street Address |
4145 CARMICHAEL ROAD MONTGOMERY CANCER CENTER |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679527949 | Michael L Ingram | Radiology | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-20 |
| 1962931410 | Ashley Cannon Mann | Nurse Practitioner | 4145 Carmichael Road, Montgomery, AL 36106 | 2017-06-08 |
| 1841215084 | Sandria Renee Warren | Nurse Practitioner | 4145 Carmichael Road, Montgomery Cancer Center, Montgomery, AL 36106-2803 | 2006-07-12 |
| 1427092220 | Montgomery Cancer Center, LLC | Internal Medicine | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-06-15 |
| 1841246022 | Keith A Thompson | Internal Medicine | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-26 |
| 1417902917 | Karlene R Boozer | Nurse Practitioner | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-23 |
| 1306891817 | Kristi Springer | Nurse Practitioner | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-23 |
| 1851346365 | Donna Turner | Nurse Practitioner | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-23 |
| 1598710006 | Heather Moreland | Nurse Practitioner | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-23 |
| 1356395214 | Harry M Barnes IIi | Internal Medicine | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417222720 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Internal Medicine | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2012-03-20 |
| 1740578905 | Astrid Belalcazar | Internal Medicine | 300 Saint Lukes Dr, Montgomery, AL 36117-7102 | 2011-07-21 |
| 1013140904 | Southeast Cancer Network, Inc | Internal Medicine | 1758 Park Pl, Suite 301, Montgomery, AL 36106-1127 | 2009-08-26 |
| 1780753418 | Southeast Cancer Network, Inc | Internal Medicine | 300 Saint Lukes Dr, Montgomery, AL 36117-7102 | 2006-11-07 |
| 1255400834 | Southeast Cancer Network, Inc | Internal Medicine | 2055 E South Blvd, Ste 202, Montgomery, AL 36116-2001 | 2006-11-07 |
| 1780623850 | Scott A Mcdaniel | Internal Medicine | 4145 Carmichael Rd, Montgomery, AL 36106 | 2006-06-05 |
| 1902852171 | Stephen L Davidson | Internal Medicine | 4145 Carmichael Rd, Montgomery, AL 36106 | 2006-05-26 |
| 1841246022 | Keith A Thompson | Internal Medicine | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-26 |
| 1356395214 | Harry M Barnes IIi | Internal Medicine | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-22 |
| 1053303602 | William Gary Cumbie Jr. | Internal Medicine | 1722 Pine St, Ste 500, Montgomery, AL 36106-1103 | 2005-08-19 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on JOHN EDWARD REARDON.
| 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.