Provider Type Icon

REGGIE A VADEN MD NPI 1700983343


NPI Information

NPI: 1700983343
Provider Name: REGGIE A VADEN, MD
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1601 E BROADWAY
STE240
COLUMBIA, MO
ZIP 65201
Phone: (573) 815-8145
Get Directions

Reggie A Vaden, MD is a colon rectal surgery in Columbia, MO with 35 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. Reggie A Vaden, MD NPI is 1700983343. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1989

The provider's business location address is:

1601 E BROADWAY
STE240
COLUMBIA, MO
ZIP 65201-020
Phone: (573) 815-8145
Fax: (573) 815-3832

The NPI 1700983343 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 2/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery2014008946MISSOURINo
2208600000XSurgery40886IOWANo
3208C00000XColon & Rectal Surgery2014008945MISSOURIYes
4208C00000XColon & Rectal SurgeryK8545TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1037011602MEDICAIDTEXAS
2037011604MEDICAIDTEXAS
3037011605MEDICAIDTEXAS
41700983343MEDICAIDMISSOURI
58846M6MEDICARE PINTEXAS
62014008945OTHERMISSOURIMO STATE LICENSE
78B3076MEDICARE PINTEXAS
88888M1MEDICARE PINTEXAS
983395NMEDICARE PINTEXAS
10037011603MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.