Joseph P Regan MD SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

45445 Issued in WI

Legal business name

JOSEPH P REGAN MD SC

Practice address

2015 E Newport Ave
Suite305
Milwaukee, WI 53211-2984

Phone

(414) 963-9415

Fax

(414) 961-0335

NPI assigned

Jul 10, 2007

Last updated

Jul 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph P Regan, MDNPI 1639116486

Title

MD

Phone

(414) 963-9415

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Joseph P Regan, M.D.

  • Surgery Physician
  • Mequon, WI
  • NPI 1639116486
  NPD (past) Authorized official

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1487852505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "SUITE305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-963-9415",
            "fax_number": "414-961-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "SUITE305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-963-9415",
            "fax_number": "414-961-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH P REGAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "414-963-9415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "45445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34370200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanel Marie Jordan
• Kristen Noelle Jordens, DPT
• Julie M Jorns, M.D.
• Jose Ruiz DMD LLC (414 Dental)
• Joseph C. Battista MD SC
• Beena Joseph, MD
• Caroline E Joseph, PA
• David Benjamin Joseph, MD
• Manuel Joseph, MD
• Reshmi Joseph, M.D.

• Surgery Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.