JEFFREY M REAGAN MD PLLC
NPI 1194132613
Orthopaedic Surgery - Sports Medicine in Lakeside, AZ

Q: What is Jeffrey M Reagan MD PLLC's NPI number?

The NPI number for Jeffrey M Reagan MD PLLC is 1194132613. It was assigned to this organization in the NPPES registry on July 16, 2014.

Q: What is Jeffrey M Reagan MD PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since July 16, 2014

4830 HIGHWAY 260 STE 103, LAKESIDE, AZ 85929(928) 537-8777(928) 537-1914 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeffrey M Reagan Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY M REAGAN MD PLLC (NPI 1194132613) is a healthcare organization registered as a sports medicine in Lakeside, Arizona and active in the NPI registry since July 2014. The organization lists Jamie Barnett, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194132613

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameJEFFREY M REAGAN MD PLLC

Location Address4830 HIGHWAY 260 STE 103Lakeside, AZ 85929-5851

Mailing Address4830 Highway 260 Ste 103Lakeside, AZ 85929-5851 · (928) 537-8777 · Fax (928) 537-1914

Phone(928) 537-8777

Fax(928) 537-1914

Organization SubpartNo

Authorized OfficialJamie BarnettOffice Manager · (928) 537-8777

Enumeration DateJuly 16, 2014

✔ NPI 1194132613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in AZ · 49407

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

4830 HIGHWAY 260 STE 103, Lakeside, AZ 85929

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACOB BLAINE OLDHAM

Orthopaedic Surgery