Redidoc LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

REDIDOC LLC

Practice address

20343 N Hayden Rd Ste 105
Scottsdale, AZ 85255-3876

Phone

(888) 309-1666

Fax

(888) 883-0665

NPI assigned

Nov 16, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Luke

Title

Managing Member

Phone

(480) 269-4397

Specialties & licenses 7

Addresses

Locations

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1750823159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20343 N HAYDEN RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553876",
            "telephone_number": "888-309-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20343 N HAYDEN RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553876",
            "telephone_number": "888-309-1666",
            "fax_number": "888-883-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDIDOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-269-4397",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srinivas Perugu Reddy, M.D.
• Sudhakar K Reddy, M.D.
• Redeem Health LLC
• Redefine Wellness Scottsdale, LLC
• William L Redenius, MD
• Michele Aileen Redmond, RDN
• Reduspa, LLC
• Kayla Lynn Reed, LMFT
• Kelly Anne Reed, OD
• Leon Brannon Reed, DDS

• General Practice Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.