Ann C Reardon, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD13570 Issued in ME

Practice address

360 Broadway
Bangor, ME 04401-3979

Phone

(207) 344-2220

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

State University of Ny Upstate Medical University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Anesthesia Associates LLCGroup PAC ID 9032022744, 16 clinicians

Anesthesia Services of CharlestonGroup PAC ID 5496757692, 11 clinicians

Trident Anesthesia Group LLCGroup PAC ID 5294631545, 121 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesia Services of Charleston

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1730258997
  Medicare reassignment Care Compare group NPD
• Coastal Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1942252176
  Medicare reassignment Care Compare group NPD
• Trident Anesthesia Group, LLC

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1376595520
  Medicare reassignment Care Compare group NPD
• Palmetto Anesthesia of Charleston, LLC

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1265484422
  Medicare reassignment NPD

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1396757183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013979",
            "telephone_number": "207-344-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "ANN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "MD13570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Billings Cole Raymond, LCPC-C/ LADC
• Sheila Ruth Raymond
• Rd 207, LLC
• David Brian Rea, D.C.
• David Bert Read, CADC
• Kylie J Reck, PNP
• Dean L Redding, DO
• Julie Lynn Redding, LCPC-C
• Katherine Emily Marie Redding, DO
• Alexandria Elizabeth Redmond

• Anesthesiology Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Anesthesiology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.