Patti J Reddell, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H3509 Issued in TX

Practice address

830 Gemini St
Houston, TX 77058-2702

Phone

(713) 442-4400

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1629164801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 GEMINI ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582702",
            "telephone_number": "713-442-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 GEMINI ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582702",
            "telephone_number": "713-442-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDELL",
        "first_name": "PATTI",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H3509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104743307",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104743303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104743305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red Oak Podiatry, PC
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• Red Sea Medical Transportation LLC
• Redbird Foot & Ankle Surgery Center, PA
• Samantha Redden Chirinos, MD
• Mayith Dayana Reddersen, PA-C
• Brittany Reddick
• Earth-Shameenah Ladija Reddick, FNP-C
• Max Edward Reddick, M.D.

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.