Richard a Redd MD PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

F2870 Issued in TX

Legal business name

RICHARD A REDD MD PA

Practice address

2319 Brook Hollow Dr
Wichita Falls, TX 76308-2206

Phone

(806) 355-6593

Fax

(806) 352-8774

NPI assigned

Aug 28, 2007

Last updated

Mar 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Allan Redd, MDNPI 1871609941

Title

Radiologist

Phone

(940) 691-9382

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Allan Redd, M.D.

  • Diagnostic Radiology Physician
  • Wichita Falls, TX
  • NPI 1871609941
  Authorized official Same address or phone

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1215121793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8337",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791148337",
            "telephone_number": "806-355-6593",
            "fax_number": "806-352-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 BROOK HOLLOW DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082206",
            "telephone_number": "806-355-6593",
            "fax_number": "806-352-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A REDD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "REDD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "940-691-9382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "F2870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132890809",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS REGISTRATION",
            "identifier": "P00282477",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Richard L Kern Jr MD PLLC
• Martin Richards
• Jenell Lavon Richardson, LVN

• Diagnostic Radiology Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.