Individual provider Active NPI

Clyde R. Redmond II, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Springdale, AR
National Provider Identifier
1700952462
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
E9442 Issued in AR
Practice address
601 W Maple Ave Ste 403
Springdale, AR 72764-5374
Phone
(479) 757-4840
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME151402 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X E9442 AR Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 28924 OK
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2000156468 MO

Addresses

Primary practice location

601 W Maple Ave Ste 403
Springdale, AR 72764-5374

Mailing address

PO Box 44008
Jacksonville, FL 32231-4008
Phone (904) 383-1011

Other practice location 1

653 W 8th St
Jacksonville, FL 32209-6511
Phone (904) 383-1011

Other practice location 2

100 Mercy Way
Suite 310
Joplin, MO 64804-4524
Phone (417) 556-8600

Other identifiers 4

IdentifierTypeStateIssuer
200410930AMedicaidOK
P01408842OtherMORAIL ROAD MEDICARE
201106810AMedicaidKS
204958706MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clyde.redmond.1@2229.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK, AR, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050531000216 MO Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1355383431 Reassigns benefits to 4 organizations
I20120517000199 OK Practitioner - Thoracic Surgery 1355383431 Reassigns benefits to 1 organization
I20181003001785 AR Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1355383431 Reassigns benefits to 5 organizations
I20220930002434 FL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1355383431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians
Baptist Health ServicesGroup PAC ID 0648514133, 103 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, 1,121 clinicians
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, shared by 5 NPIs, 314 clinicians

Practice addresses (Care Compare)

100 Mercy Way
310 Mercy Clinic Joplin Cardiac Thoraci
Joplin, MO 64804-4524
Phone (417) 556-8600

1001 Towson Ave
Fort Smith, AR 72901-4921

1235 E Cherokee St
Springfield, MO 65804-2203

1500 Dodson Ave
Fort Smith, AR 72901-5179

1500 Dodson Ave
Fort Smith, AR 72901-5182

1723 Broadway St
Suite 210
Cape Girardeau, MO 63701-4556
Phone (537) 331-7841

1923 S Utica
Tulsa, OK 74104
Phone (918) 744-2071

2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905

2708 S Rife Medical LN
Suite 220
Rogers, AR 72758-1456
Phone (479) 338-4400

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17744LAMDPharmacist
E9442ARMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Feb 16, 2026 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC CurrentSince Jul 1, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 7, 2019 Accepting new patients
Baptist Health Services CurrentSince Dec 12, 2020 Accepting new patients
Northwest Physicians LLC CurrentSince Sep 6, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jan 28, 2026 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 1, 2024 Accepting new patients
Northwest Physicians LLC CurrentSince Sep 6, 2018 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 7, 2019 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince May 30, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince May 30, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince May 30, 2025 Accepting new patients
Baptist Health Services CurrentSince Dec 12, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jan 28, 2026 Accepting new patients
St. John Physicians, Inc. CurrentSince Feb 16, 2026 Accepting new patients
Cardiology Consultants Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

7303 Rogers Ave
Ste 302
Fort Smith, AR 72903
Phone (479) 452-1188

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

2708 S Rife Medical Ln
Ste 220
Rogers, AR 72758
Phone (479) 338-4400

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902

100 Mercy Way
Ste 310
Joplin, MO 64804

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

10012 Kennerly Rd
Ste 101
Saint Louis, MO 63128
Phone (314) 525-4325

625 S New Ballas Rd
#R7040
Saint Louis, MO 63141

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1923 S Utica Ave
#5
Tulsa, OK 74104

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Interoperability endpoints

  • Direct secure messaging: credmond368750@direct.baptist-healthar.org
  • Direct secure messaging: clyde.redmond@hca4.eclinicaldirectplus.com
  • Direct secure messaging: credmond1127@directb.mercy.net
  • Direct secure messaging: credmond18654@directc.mercy.net

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1700952462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008",
            "telephone_number": "904-383-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MAPLE AVE STE 403",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645374",
            "telephone_number": "479-757-4840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096511",
            "country_code": "US",
            "telephone_number": "904-383-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Mercy Way",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648044524",
            "country_code": "US",
            "telephone_number": "417-556-8600",
            "fax_number": "417-556-8602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "CLYDE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME151402",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "E9442",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OK",
            "license": "28924",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2000156468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200410930A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01408842",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201106810A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204958706",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clyde.redmond.1@2229.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "601 W Maple Ave Ste 403",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727645374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.