Chad Allen Reigel, KCSA

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

SA 059 Issued in KY

Practice address

313 Autumn Breeze Trce
Lagrange, KY 40031-1392

Phone

(502) 225-6334

Fax

(502) 225-6334

NPI assigned

Jul 12, 2006

Last updated

Dec 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1710912258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 AUTUMN BREEZE TRCE",
            "city": "LAGRANGE",
            "state": "KY",
            "postal_code": "400311392",
            "telephone_number": "502-225-6334",
            "fax_number": "502-225-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 AUTUMN BREEZE TRCE",
            "city": "LAGRANGE",
            "state": "KY",
            "postal_code": "400311392",
            "telephone_number": "502-225-6334",
            "fax_number": "502-225-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIGEL",
        "first_name": "CHAD",
        "middle_name": "ALLEN",
        "credential": "KCSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "KY",
            "license": "SA 059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "creigel16427@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1025 New Moody Ln",
            "city": "LA Grange",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400319154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Shiela Isaac Rhoads, MD
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• Surgical Technologist in La Grange, KY
• Providers in La Grange, KY by specialty
• Surgical Technologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.