Provider Demographics
NPI:1336262088
Name:MEARA, REGINA SCHMIDT (MD)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:SCHMIDT
Last Name:MEARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:701 N CLAYTON ST STE 301 MSB
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3165
Mailing Address - Country:US
Mailing Address - Phone:302-575-8103
Mailing Address - Fax:302-575-8144
Practice Address - Street 1:701 N CLAYTON ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805
Practice Address - Country:US
Practice Address - Phone:302-575-8103
Practice Address - Fax:302-645-3338
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25051207ZP0102X
DEC1-0009447207ZP0102X
PAMD481744207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE236245A74Medicare PIN
AL051541142Medicare PIN