Organization Active NPI

Reddix Family Healthcare LLC

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1376758391
Registry record updated Nov 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0064454 Issued in MD
Legal business name
REDDIX FAMILY HEALTHCARE LLC
Practice address
6819 Reisterstown Rd
Ste 103
Baltimore, MD 21215-1418
Phone
(410) 585-0124
Fax
(410) 585-0127
NPI assigned
May 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2010

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

Authorized official

Name
Dr. Irance Reddix, MD
Title
Owner
Phone
(318) 348-5622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0064454 MD Primary

Addresses

Primary practice location

6819 Reisterstown Rd
Ste 103
Baltimore, MD 21215-1418

Mailing address

9903 Braewood Rd
Randallstown, MD 21133-1505
Phone (410) 747-6040

National Provider Directory

National Provider Directory

Locations

6819 Reisterstown Rd
Ste 103
Baltimore, MD 21215
Phone (410) 585-0124

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18138/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289001600000",
    "number": "1376758391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9903 BRAEWOOD RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331505",
            "telephone_number": "410-747-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 REISTERSTOWN RD",
            "address_2": "STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151418",
            "telephone_number": "410-585-0124",
            "fax_number": "410-585-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDIX FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2010-11-06",
        "status": "A",
        "authorized_official_last_name": "REDDIX",
        "authorized_official_first_name": "IRANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-348-5622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0064454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.