Frederick Charles Redfern, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

5752 Issued in NV

Practice address

1701 N Green Valley Pkwy Ste 4B
Henderson, NV 89074-5886

Phone

(702) 456-2400

Fax

(702) 456-4265

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1104893031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N GREEN VALLEY PKWY STE 4B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745886",
            "telephone_number": "702-456-2400",
            "fax_number": "702-456-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GREEN VALLEY PKWY STE 4B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745886",
            "telephone_number": "702-456-2400",
            "fax_number": "702-456-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFERN",
        "first_name": "FREDERICK",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "5752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0501117",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002569",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol G Reddick, APRN, CNM
• Gautham Gummadi Reddy, M.D.
• Sandeep Kaur Reddy, M.D.
• Redeemer Health Services
• Anna Marie Redfern, OTR/L
• Adeline Redman
• Cheri Redman
• Kamahri Ellese Redmond
• Blayre Reed
• Gail Reed

• Orthopaedic Surgery Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Orthopaedic Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.