MR. KEVIN P REAGAN (NPI# 1831206978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831206978 |
| Entity Type | Individual |
| Full Name | MR. KEVIN P REAGAN |
| Credential | MD |
| Practice Address |
11704 W Center Rd Suite 210 Omaha NE 68144-4375 |
| Practice Telephone | 4023302727 |
| Mailing Telephone | 4023302727 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 16148 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47083900200 | 05 | |
| NE | TRAVELERS RR MEDICARE | 110219831 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186222 | Kevin J Reagan | Neuromusculoskeletal Medicine, Sports Medicine | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2005-06-30 |
| Street Address |
11704 W CENTER RD SUITE 210 |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932173770 | Peter Monaco Cimino | Orthopaedic Surgery | 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375 | 2006-02-16 |
| 1629515085 | Andrew Wakin | Nurse Practitioner | 11704 W Center Rd, Suite 103 A, Omaha, NE 68144-4375 | 2017-01-24 |
| 1922453984 | Claire E Hulett | Physical Therapy Assistant | 11704 W Center Rd, Suite #200, Omaha, NE 68144-4375 | 2016-04-27 |
| 1710038534 | Outpatient Surgical Specialties Center, LLC | Clinic/Center | 11704 W Center Rd, Suite 110, Omaha, NE 68144-4375 | 2007-01-16 |
| 1295816759 | Alegent Health Bergan Mercy Health Center | Clinic/Center | 11704 W Center Rd, Omaha, NE 68144-4375 | 2006-10-18 |
| 1447343405 | Thomas James Dobleman | Otolaryngology | 11704 W Center Rd, Suite 211, Omaha, NE 68144-4375 | 2006-10-02 |
| 1699868596 | Ear Nose & Throat - Head and Neck Surgery P.C. | Otolaryngology | 11704 W Center Rd, Suite 211, Omaha, NE 68144-4375 | 2006-10-02 |
| 1093759920 | Mary G Stroesser | Occupational Therapist | 11704 W Center Rd, Suite 200, Omaha, NE 68144-4375 | 2006-06-14 |
| 1780625475 | James J Sevcik | Physical Therapist | 11704 W Center Rd, Ste. 100, Omaha, NE 68144-4375 | 2006-06-10 |
| 1710934849 | Thomas J Persing | Specialist/Technologist, Other | 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171468 | Meghana Vijay Khedekar | Internal Medicine | 7710 Mercy Road Cu Department of Internal Medicine, Suite 202, Omaha, NE 68124-2353 | 2020-07-17 |
| 1104441443 | Justin Lawrence Burr | Internal Medicine | 982055 Nebraska Medical Center Omaha Ne 68198-2055, Omaha, NE 68198-5524 | 2020-06-12 |
| 1952963241 | Bryton Evan Perman | Internal Medicine | Suite 202, Cu Department of Internal Medicine, 7710 Mercy Road, Omaha, NE 68124-2353 | 2019-07-08 |
| 1487211793 | Gulsen Ozen | Internal Medicine | 983332 Nebraska Medical Ctr Dept Of, Omaha, NE 68198-3332 | 2019-05-22 |
| 1619457868 | Jalal Mohamed Dufani | Internal Medicine | Creighton University Internal Medicine, 7710 Mercy Road, Suite 202, Omaha, NE 68124-6812 | 2018-08-17 |
| 1437638640 | Krishnachaitanya Reddy Pallamala | Internal Medicine | 7710 Mercy Road, Suite 202 - Cu Inernal Medicine, Omaha, NE 68124-2353 | 2018-08-08 |
| 1750877510 | Collaborative Care Associates PC | Internal Medicine | 3410 N 140th St, Omaha, NE 68164-5400 | 2018-07-05 |
| 1477048593 | Sai Giridhar Gundepalli | Internal Medicine | 7710 Mercy Road, Cu Department of Internal Medicine, Suite 202, Omaha, NE 68124-2353 | 2018-07-01 |
| 1831684463 | Tyler Gallo | Internal Medicine | 982005 Nebraska Medical Center, Omaha, NE 68198-2055 | 2018-06-26 |
| 1992221808 | Ahmad Al-tamimi | Internal Medicine | 7710 Mercy Rd Ste 202-cu, Omaha, NE 68124-2372 | 2017-08-22 |
| Find all providers in OMAHA | ||||
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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.