Douglas J Redosh, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

31660 Issued in CO

Practice address

3550 Lutheran Parkway #200
Wheat Ridge, CO 80033

Phone

(303) 403-7370

Fax

(303) 403-7379

NPI assigned

Feb 9, 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

Other identifiers 1

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1679546758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ELDORADO BLVD # 6250",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213408",
            "telephone_number": "303-272-0751",
            "fax_number": "303-318-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LUTHERAN PARKWAY #200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-403-7370",
            "fax_number": "303-403-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDOSH",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "31660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01316603",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red Rocks Endodontics Center PLLC
• Tiffani Redden
• Michele Renee Redding-Larosa, MA, LAC, LPC, NCC
• Allison Hammond Reddinger, M.D.
• James Redigan, NCC
• Bashira Reed
• Jennifer Reed, DPT
• McKenzie Reed
• Sarah Reed
• Deborah L Reeder, PT

• Neurology Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Neurology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.