DR. KEVIN J REAGAN (NPI# 1730186222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730186222 |
| Entity Type | Individual |
| Full Name | DR. KEVIN J REAGAN |
| Credential | M.D. |
| Practice Address |
35 Kennedy Dr Putnam CT 06260-1939 |
| Practice Telephone | 8609632133 |
| Practice Fax Number | 8609638955 |
| Mailing Telephone | 8609632133 |
| Mailing Fax Number | 8609638955 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 036021 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001360213 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831206978 | Kevin P Reagan | Internal Medicine | 11704 W Center Rd, Suite 210, Omaha, NE 68144-4375 | 2006-08-24 |
| Street Address |
35 KENNEDY DR |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568947570 | Ortho New England LLC | Durable Medical Equipment & Medical Supplies | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2018-09-26 |
| 1457848418 | Alyson Marie Stolz | Physician Assistant | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2018-04-16 |
| 1386045367 | Michael Olm | Physician Assistant | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2014-09-10 |
| 1134365976 | Kerri Lynn Sauer | Nurse Practitioner | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2008-12-29 |
| 1770532566 | Orthopedic Associates of Windham County LLP | Nurse Practitioner | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2006-05-09 |
| 1265495238 | Nathanael T. Trythall | Physical Therapist | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2006-04-10 |
| 1295700813 | David J Lachance | Nurse Practitioner | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2006-02-17 |
| 1528065851 | Biren V Chokshi | Neuromusculoskeletal Medicine, Sports Medicine | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2005-07-01 |
| 1003813502 | Scott A Green | Neuromusculoskeletal Medicine, Sports Medicine | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| Find all providers in zip 06260 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528065851 | Biren V Chokshi | Neuromusculoskeletal Medicine, Sports Medicine | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2005-07-01 |
| 1003813502 | Scott A Green | Neuromusculoskeletal Medicine, Sports Medicine | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407876733 | William Joseph Garrity | Neuromusculoskeletal Medicine, Sports Medicine | 230b Mountain Rd, Suffield, CT 06078-2094 | 2006-07-20 |
| 1841283744 | Albert J Kozar | Neuromusculoskeletal Medicine, Sports Medicine | 54 W Avon Rd, Suite 202, Avon, CT 06001-3680 | 2005-08-25 |
| 1902899800 | Paul David Tortland | Neuromusculoskeletal Medicine, Sports Medicine | 59 Sycamore St, #301, Glastonbury, CT 06033-4535 | 2005-08-25 |
| 1053713800 | Connecticut Headache and Migraine Relief Center LLC | Neuromusculoskeletal Medicine, Sports Medicine | 235 Glenville Rd, Suite 2b, Greenwich, CT 06831-4148 | 2014-09-24 |
| 1831429885 | Westsports Medicine Inc | Neuromusculoskeletal Medicine, Sports Medicine | 166 East Ave, Norwalk, CT 06851-5725 | 2010-01-13 |
| 1649403320 | Integrated Medical of Danbury, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 46 Mill Plain Rd, Danbury, CT 06811-5140 | 2009-08-28 |
| 1871799635 | Valley Sports Physicians & Orthopedic Medicine | Neuromusculoskeletal Medicine, Sports Medicine | 54 W Avon Rd, Suite 202, Avon, CT 06001-3680 | 2007-06-26 |
| 1063628295 | Ward J Mcfarland Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 32 Trumbull St, C/o R Fabbri, M.d., New Haven, CT 06511-6310 | 2007-05-15 |
| 1598898843 | Joshua B Frank | Neuromusculoskeletal Medicine, Sports Medicine | 761 Main Ave, Suite 115, Norwalk, CT 06851-1080 | 2007-03-14 |
| 1740311208 | Michael Lance Gerstenfeld | Neuromusculoskeletal Medicine, Sports Medicine | 46 Mill Plain Rd, Danbury, CT 06811-5140 | 2007-03-08 |
| Find all providers with the same taxonomy | ||||
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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.