Active NPI
D'Juana Renee' Redmon, CCP
- Specialist
- Dayton, OH
National Provider Identifier
1528293859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 000000
- Practice address
- 2200 Philadelphia Dr
Suite 555
Dayton, OH 45406-1840 - Phone
- (937) 275-5100
- NPI assigned
- May 15, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 000000 | OH | Primary |
Addresses
Primary practice location
2200 Philadelphia Dr
Suite 555
Dayton, OH 45406-1840
Mailing address
792 Conservation Cir
Fairborn, OH 45324-4385
Phone (937) 879-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Cardiothoracic and Vascular Surgeons Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Dayton, OH
- NPI 1811944531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1528293859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 CONSERVATION CIR",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453244385",
"telephone_number": "937-879-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PHILADELPHIA DR",
"address_2": "SUITE 555",
"city": "DAYTON",
"state": "OH",
"postal_code": "454061840",
"telephone_number": "937-275-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMON",
"first_name": "D'JUANA",
"middle_name": "RENEE'",
"name_prefix": "Mrs.",
"credential": "CCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-15",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.