Patrick T Regan, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

20082 Issued in WI

Practice address

1414 N Taylor Drive
Columbia St Mary's Sheyboygan Outpatient Center
Sheboygan, WI 53081-3090

Phone

(262) 243-2500

Fax

(262) 243-5395

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4

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

• Columbia St Mary's Hospital Ozaukee, Inc.

  dba Ascension Columbia St Mary's Hospital Ozaukee

  • Psychiatric Hospital Unit
  • Mequon, WI
  • NPI 1184786329
  NPD (past)
• Madison Medical Affiliates, Inc.

  • General Practice Physician
  • Milwaukee, WI
  • NPI 1588695746
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1518904762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 N PORT WASHINGTON RD",
            "address_2": "CSMCP CLINIC CREDENTIALING",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121082",
            "telephone_number": "414-326-2218",
            "fax_number": "414-326-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N TAYLOR DRIVE",
            "address_2": "COLUMBIA ST MARY'S SHEYBOYGAN OUTPATIENT CENTER",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813090",
            "telephone_number": "262-243-2500",
            "fax_number": "262-243-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "PATRICK",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "20082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518904762",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate M Ratajczak, APNP
• Ashley Rawlings, LAT
• Michael K Ray, PA-C
• Shuaib Raza
• Leonard Reedyk, MD
• Rehab Resources Inc.
• Julie A Reichle
• Lori S. Reineking, RN
• Laura Reinemann, RN
• John M Reitz, DC

• Gastroenterology Physician in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Gastroenterology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.