Active NPI
James E Redmon Jr., M.D.
- Family Medicine Physician
- Louisville, KY
National Provider Identifier
1164488052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18606
- Practice address
- 7430 Jefferson Blvd
Ste 200
Louisville, KY 40219-6159 - Phone
- (502) 966-8675
- Fax
- (502) 966-8836
- NPI assigned
- Apr 21, 2006
- Last updated
- Nov 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18606 | KY | Primary |
Addresses
Primary practice location
7430 Jefferson Blvd
Ste 200
Louisville, KY 40219-6159
Mailing address
PO Box 950202
Louisville, KY 40295-0202
Phone (502) 588-9490
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2559676 | Other | CIGNA / NMA | |
| 1199955 | Other | CHA / NMA | |
| 2448450000 | Other | PASSPORT ADVANTAGE / NMA | |
| P00248576 | Other | KY | RAILROAD MEDICARE |
| 64186067 | Medicaid | KY | |
| 061470 | Other | SIHO / NMA | |
| 50007291 | Other | PASSPORT / NMA | |
| 000000366964 | Other | ANTHEM / NMA | |
| 000023025E | Other | HUMANA / NMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1164488052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950202",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7430 JEFFERSON BLVD",
"address_2": "STE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402196159",
"telephone_number": "502-966-8675",
"fax_number": "502-966-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMON",
"first_name": "JAMES",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "18606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA / NMA",
"identifier": "2559676",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA / NMA",
"identifier": "1199955",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE / NMA",
"identifier": "2448450000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00248576",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64186067",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO / NMA",
"identifier": "061470",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT / NMA",
"identifier": "50007291",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM / NMA",
"identifier": "000000366964",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA / NMA",
"identifier": "000023025E",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.