James Forrest Redman, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

OP00000680 Issued in WA

Practice address

1105 Thorndyke Rd
Port Ludlow, WA 98365-9529

Phone

(136) 043-7958

Fax

(136) 043-7958

NPI assigned

Aug 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Beach Clinic Inc P S

  • Family Medicine Physician
  • Westport, WA
  • NPI 1770787335
  NPD (past)

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1528250339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 THORNDYKE RD",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659529",
            "telephone_number": "136-043-7958",
            "fax_number": "136-043-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 THORNDYKE RD",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659529",
            "telephone_number": "136-043-7958",
            "fax_number": "136-043-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMAN",
        "first_name": "JAMES",
        "middle_name": "FORREST",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WA",
            "license": "OP00000680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Panasuk, OD
• Marjorie L Pederson, DC
• Misty Smith Pilgrim, MED, MA, LICSW
• Stephen Patrick Porter, D.M.D.
• Katherine Read
• Jillian Rebecca Rifkind, EAMP
• John E Sailer, M.D.
• Natisia D Salazar
• Charles Wesley Schott III, FNP
• Anna C Scofield, L.AC., DIPL.OM

• Adult Medicine Physician in Port Ludlow, WA
• Providers in Port Ludlow, WA by specialty
• Adult Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.