Theodore Redman, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

33759 Issued in AZ

Practice address

650 Joel Dr
Fort Campbell, KY 42223-5318

Phone

(270) 798-8823

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Tattnall Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Reidsville, GA
  • NPI 1679520217
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1639142466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-8823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Harmon Ave.",
            "address_2": "Winn Army Community Hospital",
            "address_purpose": "LOCATION",
            "city": "Ft. Stewart",
            "state": "GA",
            "postal_code": "313145674",
            "country_code": "US",
            "telephone_number": "253-968-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMAN",
        "first_name": "THEODORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "33759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Leigh Rardin, LCSW
• Christine Rasnic, RN
• Phillip Martin Ray Jr., DMD
• Brian E Raymond, CRNA
• Scott W Reaney, PA-C
• Susan Redmond-Vaught, PH.D.
• Kristy L Reed, APN, FNP-C, PMHNP-BC
• Diane M Reese, RN
• Bret Nmi Reeves
• Kris B Reid, RN

• Emergency Medicine Physician in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.