Ronald J. Reardon, M.D., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G5519 Issued in TX

Legal business name

RONALD J. REARDON, M.D., P.A.

Practice address

540 Madison Oak Dr
Suite 340
San Antonio, TX 78258-3921

Phone

(210) 403-3490

Fax

(210) 403-2042

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Ronald J. Reardon, M.D.

Title

President

Phone

(210) 403-3490

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1629104146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690868",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782690868",
            "telephone_number": "210-403-3490",
            "fax_number": "210-403-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR",
            "address_2": "SUITE 340",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583921",
            "telephone_number": "210-403-3490",
            "fax_number": "210-403-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J. REARDON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-403-3490",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0107PU",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00769L",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "DR5045",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Quinn Romo, FNP-BC
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• Ronald Gotanco, PA
• Ronald J Ressmann M.D.P.a.
• Ronald K. Garcia, M.D., PA
• Ronald L. Ritter, PH.D. & Associates, Inc.
• Aldo Ronci, DDS
• Valerie Rene Rone, MD
• Tyler Rook

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.