Basic Information
| Provider Information | |||||||||
| NPI: | 1407860018 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REGAN | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | ROBERT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 W COUNTY LINE RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | HIGHLANDS RANCH | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801292342 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037918346 | ||||||||
| FaxNumber: | 3036835773 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 W COUNTY LINE RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | HIGHLANDS RANCH | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801292342 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037918346 | ||||||||
| FaxNumber: | 3036835773 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2006 | ||||||||
| LastUpdateDate: | 08/14/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 25811 | CO | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 01258110 | 05 | CO | MEDICAID | 00085863 | 01 | CO | ACP NUMBER | OTHER | 017371 | 01 | CO | KAISER COMMERICAL NUMBER | OTHER | 010017668 | 01 | CO | RAILROAD MEDICARE | OTHER | 025078217699 | 01 | CO | MED EDUCATION NUMBER | OTHER |