Shirley E. Reddoch, MD, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0060655 Issued in MD

Legal business name

SHIRLEY E. REDDOCH, MD, LLC

Practice address

5755 Cedar LN
Columbia, MD 21044-2912

Phone

(202) 256-9987

Fax

(410) 785-3124

NPI assigned

Feb 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shirley E Reddoch, MD

Title

Physician

Phone

(202) 256-9987

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1811137169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 FREETOWN RD",
            "address_2": "200-29",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444016",
            "telephone_number": "202-256-9987",
            "fax_number": "410-785-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 CEDAR LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442912",
            "telephone_number": "202-256-9987",
            "fax_number": "410-785-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY E. REDDOCH, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "REDDOCH",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "202-256-9987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0060655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Fiedes Shin
• Theresa M. Shin, O.D.
• Timothy Shin, CRNA
• Shine Senior Center
• Towanda Shine
• Sangeeta Shirodkar-Chatim, RPH
• Emily Navarro Shiver
• Mana Shoeybi, DDS
• Felicia Shokera, RN, BSN
• Christina Marie Shope

• Specialist in Columbia, MD
• Providers in Columbia, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.