RONALD JOSEPH REARDON M.D. NPI 1093841207

NPI Information

  • NPI: 1093841207
  • Provider Name: RONALD JOSEPH REARDON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 540 MADISON OAK DR
    SUITE 340
    SAN ANTONIO, TX
    ZIP 78258
  • Phone: (210) 403-3490

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NPI Details

Ronald Joseph Reardon, M.D. is a family medicine in San Antonio, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Ronald Joseph Reardon, M.D. NPI is 1093841207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

540 MADISON OAK DR
SUITE 340
SAN ANTONIO, TX
ZIP 78258-921
Phone: (210) 403-3490
Fax: (210) 403-2042

The enumeration date for this NPI number is 2/24/2007 and was last updated on 2/9/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineC41483CALIFORNIANo
2207Q00000XFamily MedicineG5519TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1154847503398OTHERTEXASHUMANA
21222970OTHERTEXASUNITED HEALTHCARE
38AD976OTHERTEXASBCBS
4080170243OTHERTEXASRAILROAD MEDICARE INDIVIDUAL
5E04539MEDICARE UPINTEXAS
68K7703OTHERTEXASMEDICARE PTAN

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: 3/30/2025

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