Active NPI
Eric Avery Reddick, M.D.
- Emergency Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 27847
- 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
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 |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Mercy Hospital Springfield
- Hillcrest Hospital Pryor
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Mercy Hospital Columbus | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Mercy Hospital Springfield | Current | Accepting new patients | |
| Mercy St. Francis Hospital | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Hospital Carthage | Emergency Medicine | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Mercy Hospital Springfield | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Mercy St. Francis Hospital | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | 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
- 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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1972698553
KS, MO
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- Critical Access Hospital
- Cassville, MO
- NPI 1285676932
-
- Critical Access Hospital
- Columbus, KS
- NPI 1619203452
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1043242159
-
- Critical Access Hospital
- Mountain View, MO
- NPI 1023053477
-
- Clinic/Center
- Okmulgee, OK
- NPI 1326446188
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pryor, OK
- NPI 1780125005
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
-
- General Acute Care Hospital
- Carthage, MO
- NPI 1396012753
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.