DR. DAVID M REARDON (NPI# 1871572651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871572651 |
| Entity Type | Individual |
| Full Name | DR. DAVID M REARDON |
| Credential | MD |
| Practice Address |
1620 Medical Ln Suite 100 Fort Myers FL 33907-1143 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 2392751164 |
| Practice Fax Number | 2392755212 |
| Mailing Telephone | 2149328029 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2015-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
ME50460 | FL | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME50460 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0104X |
Pathology Specialization: Chemical Pathology |
ME50460 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 374108700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790869691 | David Allen Reardon | Internal Medicine | 450 Brookline Avenue, G460f, Center for Neuro-oncology, Dana-farber Cancer Institute, Boston, MA 02215 | 2006-10-25 |
| 1184077372 | David Reardon | Pharmacist | 20 York St, New Haven, CT 06510-3220 | 2016-07-22 |
| Street Address |
1620 MEDICAL LN SUITE 100 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321584 | James A Stith | Pathology | 1620 Medical Ln, Suite 100, Fort Myers, FL 33907-1143 | 2005-10-27 |
| 1225518954 | Solutions Counseling of Southwest Florida | Clinic/Center | 1620 Medical Ln, Fort Myers, FL 33907-1143 | 2018-08-21 |
| 1508122946 | Heather Barker | Pathology | 1620 Medical Ln, Fort Myers, FL 33907 | 2012-04-10 |
| 1598054371 | Zulfia Mccroskey | Pathology | 1620 Medical Ln, Fort Myers, FL 33907 | 2011-04-01 |
| 1922324441 | Willis Bon Barrow | Pathology | 1620 Medical Ln, Suite 100, Fort Myers, FL 33907-1143 | 2010-04-08 |
| 1942408281 | Deborah Miriam Gerson | Pathology | 1620 Medical Ln, Suite 100, Fort Myers, FL 33907-1143 | 2007-07-09 |
| 1225230626 | Zhiping Liu | Pathology | 1620 Medical Ln, Suite 100, Fort Myers, FL 33907-1143 | 2007-06-05 |
| 1437275096 | Stacey Aline Simons | Pathology | 1620 Medical Ln, Suite 100, Fort Myers, FL 33907-1143 | 2007-03-22 |
| 1982756565 | Shiyama Mudali | Pathology | 1620 Medical Ln, Suite 100, Fort Myers, FL 33907-1143 | 2007-01-17 |
| 1407820889 | Ameripath Florida LLC | Clinical Medical Laboratory | 1620 Medical Ln, Suite 100, Fort Myers, FL 33907-1143 | 2006-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750608915 | Jane Ilana Bernstein | Pathology | 12751 Westlinks Dr Ste 3, Fort Myers, FL 33913-8615 | 2010-04-28 |
| 1518121888 | Mohammad A. Abuel-haija | Pathology | 12432 Kelly Sands Way, Fort Myers, FL 33908-5969 | 2008-07-15 |
| 1851551162 | Essam Kazmouz | Pathology | 11187 Sand Pine Ct, Fort Myers, FL 33913-8813 | 2008-06-10 |
| 1700078441 | Marcia Elizabeth Fowler | Pathology | 15660 San Carlos Blvd, Unit # 294, Fort Myers, FL 33908-2526 | 2007-08-16 |
| 1710971007 | Joseph Edward Huth | Pathology | 2848 Center Pointe Dr Ste A, Fort Myers, FL 33916-9521 | 2005-09-01 |
| 1831190396 | Jeanette Allen Underhill | Pathology | 1620 Medical Ln Ste 100, Fort Myers, FL 33907-1143 | 2005-08-09 |
| 1730701681 | Kalemeris & Babbin Md Pa | Pathology | 1620 Medical Ln Ste 120, Fort Myers, FL 33907-1143 | 2020-05-14 |
| 1891177911 | Mohammed Amer Shiekhmohammed | Pathology | 2848 Center Pointe Dr Ste A, Fort Myers, FL 33916-9521 | 2015-06-25 |
| 1578973707 | Alexander Thomas Damron | Pathology | 1620 Medical Ln Ste 100, Fort Myers, FL 33907-1143 | 2014-04-28 |
| 1760826341 | Gina Elhammady | Pathology | 12751 Westlinks Dr, Unit 3, Fort Myers, FL 33913-8615 | 2013-04-25 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on DR. DAVID M 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.