Regen Medical LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

REGEN MEDICAL LLC

Practice address

3916 Hickory Ave
Baltimore, MD 21211-1834

Phone

(443) 552-5552

Fax

(410) 662-9884

NPI assigned

Dec 5, 2019

Organization subpart

No

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

Authorized official

Name

Michael A Dorn Jr., DC

Title

Owner

Phone

(443) 552-5552

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Child, FNP

  • Family Nurse Practitioner
  • Bowie, MD
  • NPI 1912728395
  NPD (past)

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1629615901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 HICKORY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111834",
            "telephone_number": "443-552-5552",
            "fax_number": "410-662-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 HICKORY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111834",
            "telephone_number": "443-552-5552",
            "fax_number": "410-662-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGEN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-552-5552",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Regan, M.D.
• Patrick Regan, LMT
• Randolf Regan Sr., CAC-AD
• Sarah Regan
• Regen Counseling & Consulting LLC
• Regency ABA MD Inc
• Regenerations Counseling Services Inc
• Stephanie Strauss Regenold, M.D., M.P.H.
• Reginald O Crosley MD PA
• William F Regine, M.D.

• Multi-Specialty Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Multi-Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.