NPIMap

Individual provider Active NPI

Julie Ann Redmon, M.D.

  • Otolaryngology Physician
  • Glen Allen, VA
National Provider Identifier
1841234416
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101049959 Issued in VA
Practice address
5219 Hickory Park Dr.
Suite C
Glen Allen, VA 23059
Phone
(804) 228-4480
Fax
(804) 228-4484
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101049959 VA Primary

Addresses

Primary practice location

5219 Hickory Park Dr.
Suite C
Glen Allen, VA 23059

Mailing address

5219 Hickory Park Dr.
Suite C
Glen Allen, VA 23059
Phone (804) 228-4480

Other identifiers 1

IdentifierTypeStateIssuer
010351511MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061221000118 VA Practitioner - Otolaryngology 4880598150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Virginia School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive ENT PCGroup PAC ID 7810996899, 2 clinicians

Practice addresses (Care Compare)

5219 Hickory Park Dr
Suite C
Glen Allen, VA 23059-2618
Phone (804) 228-4480

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101049959VAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive ENT P C Otolaryngology CurrentSince Jun 1, 2006 Accepting new patients

Locations

5219 Hickory Park Dr
Ste C
Glen Allen, VA 23059
Phone (804) 228-4480

1306 Alverser Plz
Midlothian, VA 23113
Phone (804) 379-1872

Organizations & group practices 1

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1841234416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 HICKORY PARK DR.",
            "address_2": "SUITE C",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23059",
            "telephone_number": "804-228-4480",
            "fax_number": "804-228-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 HICKORY PARK DR.",
            "address_2": "SUITE C",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23059",
            "telephone_number": "804-228-4480",
            "fax_number": "804-228-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMON",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101049959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010351511",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.