Individual provider Active NPI

Allan Wayne Redash, M.D.

  • Obstetrics & Gynecology Physician
  • Weaverville, NC
National Provider Identifier
1598753451
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2013-01194 Issued in NC
Practice address
46 Red Maple Dr
Weaverville, NC 28787-9273
Phone
(828) 676-7676
NPI assigned
Oct 13, 2005
Last updated
Jun 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2013-01194 NC Primary

Addresses

Primary practice location

46 Red Maple Dr
Weaverville, NC 28787-9273

Mailing address

46 Red Maple Dr
Weaverville, NC 28787-9273
Phone (828) 484-8254

Other identifiers 2

IdentifierTypeStateIssuer
3727982MedicaidTN
3327023MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107001720 NC Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 7416907365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2013-01194NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allan W Redash MD PC Obstetrics & Gynecology PastSince Dec 1, 2004 Accepting new patients
Bon Secours Community Hospital Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1598753451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 RED MAPLE DR",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879273",
            "telephone_number": "828-484-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 RED MAPLE DR",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879273",
            "telephone_number": "828-676-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDASH",
        "first_name": "ALLAN",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2013-01194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3727982",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3327023",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

Verify at the official NPI Registry.