Individual provider Active NPI

Perry William Reding, DDS, MD

  • Emergency Medicine Physician
  • Camas, WA
National Provider Identifier
1720087422
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G5520MD Issued in TX
Practice address
1917 NE 7TH Cir
Camas, WA 98607-9815
Phone
(360) 210-5748
NPI assigned
Jul 15, 2005
Last updated
Dec 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G5520MD TX Primary
Family Medicine Physician 207Q00000X G5520 TX
Emergency Medicine Physician 207P00000X 95-130 NM
Emergency Medicine Physician 207P00000X MD00048129 WA

Addresses

Primary practice location

1917 NE 7TH Cir
Camas, WA 98607-9815

Mailing address

1917 NE 7TH Cir
Camas, WA 98607-9815
Phone (360) 210-5748

Other identifiers 5

IdentifierTypeStateIssuer
V9105MedicaidNM
G5520MDOtherTXMEDICAL LICENSE NUMBER
137290608MedicaidTX
137290609MedicaidTX
34668MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040721001697 TX Practitioner - Emergency MedicinePractitioner - Family Practice 6305826223 Reassigns benefits to 8 organizations
I20100730000883 NM Practitioner - General PracticePractitioner - Emergency Medicine 6305826223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisher County Hospital DistrictGroup PAC ID 2163311465, 27 clinicians

Practice addresses (Care Compare)

774 State Hwy 70 N
Rotan, TX 79546-6918
Phone (325) 735-2256

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G5520MDTXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince May 4, 2017 Accepting new patients
County of Yoakum CurrentSince Feb 14, 2024 Accepting new patients
Fisher County Hospital District Current Accepting new patients
Rehabilitation & Occupational Medicine LLC Family Medicine CurrentSince Jun 12, 2012 Accepting new patients
Sutton County Hospital District CurrentSince Jan 1, 2020 Accepting new patients
Muenster Hospital District Family Medicine CurrentSince Mar 22, 2022 Accepting new patients
Fisher County Hospital District CurrentSince Feb 1, 2018 Accepting new patients
Fisher County Hospital District Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 4, 2017 Accepting new patients
County of Yoakum CurrentSince Feb 14, 2024 Accepting new patients
Sutton County Hospital District CurrentSince Jan 1, 2020 Accepting new patients
Muenster Hospital District Emergency Medicine Current Accepting new patients
Lewis County Emergency Physicians Emergency Medicine Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Bellville Medical Center Family Medicine PastSince Aug 6, 2019 Accepting new patients
Sabine County Hospital District Emergency Medicine Past Accepting new patients
Dr Ajai J Agarwal MD PA Family Medicine Past Accepting new patients
Scheuber Road Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

3530 Foothills Rd
Ste N
Las Cruces, NM 88011
Phone (505) 532-6054

44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

412 Mustang Ave
Denver City, TX 79323
Phone (806) 592-2121

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2200 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-2183

509 N Maple St
Muenster, TX 76252
Phone (940) 759-2226

605 N Maple St
Muenster, TX 76252
Phone (940) 759-2271

774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256

308 Hudspeth St
Sonora, TX 76950
Phone (325) 387-2521

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

802 N Minter Ave
Throckmorton, TX 76483
Phone (940) 849-2141

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 4

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1720087422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 NE 7TH CIR",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986079815",
            "telephone_number": "360-210-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 NE 7TH CIR",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986079815",
            "telephone_number": "360-210-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDING",
        "first_name": "PERRY",
        "middle_name": "WILLIAM",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G5520MD",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5520",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "95-130",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00048129",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "V9105",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "G5520MD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137290608",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137290609",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34668",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

Verify at the official NPI Registry.