Lovett P Reddick MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD11963 Issued in TN

Legal business name

LOVETT P REDDICK MD PC

Practice address

2008 Brookside Drive
Suite 202
Kingsport, TN 37660-4604

Phone

(423) 247-8104

Fax

(423) 247-9732

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Lovett P Reddick, MD

Title

President

Phone

(423) 247-8104

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1376737791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 BROOKSIDE DRIVE",
            "address_2": "SUITE 202",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604604",
            "telephone_number": "423-247-8104",
            "fax_number": "423-247-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 BROOKSIDE DRIVE",
            "address_2": "SUITE 202",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604604",
            "telephone_number": "423-247-8104",
            "fax_number": "423-247-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVETT P REDDICK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "REDDICK",
        "authorized_official_first_name": "LOVETT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-247-8104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "MD11963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3182118",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah A Love, CRNA
• Johnny Dale Love, BS
• Josiah Don Loveall
• Donald R Lovelace, MD
• Makayla Renee Loveless, RDN
• Erika Sanders Lovett, DMD
• Lovinginhomecareinc
• Anna Elizabeth Lowe
• Kelsey Lynn Lowry, DPT
• Lawrence K. Luber, D.M.D.

• Plastic Surgery Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.