Active NPI
Clyde R. Redmond II, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- E9442
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200410930A | Medicaid | OK | |
| P01408842 | Other | MO | RAIL ROAD MEDICARE |
| 201106810A | Medicaid | KS | |
| 204958706 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Northwest Arkansas Communities
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
- Baptist Health - Fort Smith
- Mercy Hospital Joplin
- Ascension St John Medical Center
- Mercy Hospital Northwest Arkansas
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17744 | LA | MD | Pharmacist |
| E9442 | AR | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Baptist Health Services | Current | Accepting new patients | |
| Northwest Physicians LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Northwest Physicians LLC | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Baptist Health Services | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | 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
- credmond368750@direct.baptist-healthar.org
- clyde.redmond@hca4.eclinicaldirectplus.com
- credmond1127@directb.mercy.net
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Fort Smith, AR
- NPI 1922587690
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Hospitalist Physician
- Rogers, AR
- NPI 1699076737
-
- Obstetrics Physician
- Springdale, AR
- NPI 1194768721
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Saint Louis, MO
- NPI 1538181466
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Family Medicine Physician
- Fort Smith, AR
- NPI 1750856043
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.