Individual provider Active NPI

Eric Avery Reddick, M.D.

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1225354012
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
27847 Issued in OK
Practice address
4502 E 41St St
Tulsa, OK 74135-9923
Phone
(918) 660-3505
NPI assigned
Apr 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 27847 OK Primary

Addresses

Primary practice location

4502 E 41St St
Tulsa, OK 74135-9923

Mailing address

5143 S Vandalia Ave Apt 17G
Tulsa, OK 74135-4022
Phone (918) 720-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS, MO, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130802000589 OK Practitioner - Emergency Medicine 2668613639 Reassigns benefits to 3 organizations
I20180205002358 KS Practitioner - Emergency Medicine 2668613639 Reassigns benefits to 2 organizations
I20190521003130 MO Practitioner - Emergency Medicine 2668613639 Reassigns benefits to 10 organizations
I20220621003093 TX Practitioner - Emergency Medicine 2668613639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Oklahoma College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Mercy Clinic Emergency Medicine
Joplin, MO 64804-4524
Phone (417) 556-2300

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

Hospital & facility affiliations

  • Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065
  • Hillcrest Hospital Pryor Hospital, Pryor, OK, CCN 370015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2019 Accepting new patients
Mercy Hospital Aurora CurrentSince Jul 18, 2023 Accepting new patients
Mercy Hospital Columbus CurrentSince Mar 13, 2026 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2019 Accepting new patients
Mercy Hospital Springfield CurrentSince Jul 18, 2023 Accepting new patients
Mercy St. Francis Hospital CurrentSince Jul 18, 2023 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince May 24, 2019 Accepting new patients
Mercy Hospital Cassville CurrentSince Jul 18, 2023 Accepting new patients
Mercy Hospital Carthage Emergency Medicine Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 16, 2022 Accepting new patients
Mercy Hospital Springfield CurrentSince Jul 18, 2023 Accepting new patients
Mercy Hospital Cassville CurrentSince Jul 18, 2023 Accepting new patients
Mercy Hospital Aurora CurrentSince Jul 18, 2023 Accepting new patients
Mercy St. Francis Hospital CurrentSince Jul 18, 2023 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince May 1, 2019 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Oklahoma Emergency Services PC Emergency Medicine Past Accepting new patients

Locations

220 N Pennsylvania Ave
Columbus, KS 66725
Phone (620) 429-2545

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

Dept 1467
Tulsa, OK 74182

Dept 1038
Tulsa, OK 74182

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • Direct secure messaging: ereddick119743@ahs.direct-ci.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1225354012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5143 S VANDALIA AVE APT 17G",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354022",
            "telephone_number": "918-720-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741359923",
            "telephone_number": "918-660-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDICK",
        "first_name": "ERIC",
        "middle_name": "AVERY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "27847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.