Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 18609 | NV |
N | 207V00000X | Obstetrician & Gynecologist | 32721 | KY |
N | 207V00000X | Obstetrician & Gynecologist | 42051 | MN |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 35071890 | OH |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 53060 | AZ |
Y | 207VX0201X | Gynecologic Oncologist | 35071890 | OH |
NPI | 1528059482 |
---|---|
Provider Name | Jodi K Regan |
First Address | Miamisburg, OH 45342-6115 |
Second Address | Akron, OH 44308-1063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 25/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0094056 | (05) | OH |
0712622 | MEDICA HEALTH PLANS (01) | |
1021488 | PREFERRED ONE (01) | |
123745 | U CARE (01) | |
2116603 | FIRST HEALTH PLAN (01) | |
277278 | (05) | AZ |
287818600 | MEDICAL ASSISTANCE (01) | |
71D48RE | BLUE CROSS BLUE SHIELD (01) | |
854750 | ARAZ GRP AMERICA'S PPO (01) | |
H06812 | (02) | |
HP29389 | HEALTH PARTNERS (01) |