Geetha Reddy, MD

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

E4716 Issued in AR

Legal business name

GEETHA REDDY, MD

Practice address

700 W Grove St
El Dorado, AR 71730-4416

Phone

(870) 864-4189

Fax

(870) 864-4191

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Geetha Reddy, MD

Title

Owner

Phone

(870) 864-4189

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geetha R Komatireddy, MD

  • Rheumatology Physician
  • Poplar Bluff, MO
  • NPI 1861421687
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1770516171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10277",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717300001",
            "telephone_number": "870-864-4189",
            "fax_number": "870-864-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-864-4189",
            "fax_number": "870-864-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEETHA REDDY, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-864-4189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "AR",
            "license": "E4716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161946001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5N641",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Garrett-Shaver, MD
• Carol A Garrett, PHD
• Allison Renae Gates, M.S., SLP
• Kenneth G Gati, M.D.
• Pamela Ann Gauthreaux, MSPT
• Genoa Healthcare LLC
• Robertine George, LPN
• Ggnsc El Dorado III LLC
• Cheree Gibson
• Lisa Gill, LPC

• All providers in El Dorado, AR
• Neuromusculoskeletal Medicine & OMM Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.