Provider Demographics
NPI:1992977896
Name:PYLE, REGAN C (DO)
Entity type:Individual
Prefix:MRS
First Name:REGAN
Middle Name:C
Last Name:PYLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:REGAN
Other - Middle Name:CHRISTINE
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 842578
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-2578
Mailing Address - Country:US
Mailing Address - Phone:970-926-6350
Mailing Address - Fax:970-926-6348
Practice Address - Street 1:50 BUCK CREEK RD STE 300
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620-5428
Practice Address - Country:US
Practice Address - Phone:970-926-6340
Practice Address - Fax:970-926-6348
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0057137207KA0200X
MO2014007933207KA0200X
MN106198207R00000X
KYTP937207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY107680OtherSIHO - NICC
KY000000630659OtherANTHEM - NICC
CO79155049Medicaid
KY000051983WOtherHUMANA - NICC
KY000051983WOtherHUMANA - NICC