NPIMap

Organization Active NPI

Sally W Regan MD PC

  • Diagnostic Radiology Physician
  • Chester, SC
National Provider Identifier
1053697714
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SALLY W REGAN MD PC
Practice address
1 Medical Park Dr
Chester, SC 29706-9769
Phone
(803) 581-9413
NPI assigned
Oct 26, 2011
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sally Regan, MDNPI 1285624023
Title
Owner
Phone
(423) 826-1276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

1 Medical Park Dr
Chester, SC 29706-9769

Mailing address

PO Box 5938
Chattanooga, TN 37406-0938
Phone (423) 826-1276

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1053697714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5938",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374060938",
            "telephone_number": "423-826-1276",
            "fax_number": "423-826-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297069769",
            "telephone_number": "803-581-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY W REGAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-826-1276",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.