REDD ROAD ENTERPRISES, INC. (NPI# 1184657736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184657736 |
| Entity Type | Organization |
| Organization Name | REDD ROAD ENTERPRISES, INC. |
| Practice Address |
9321 Ky 80-east Russell Springs KY 42728 |
| Mailing Address |
Po Box 1430 Frankfort KY 40602-1430 |
| Practice Telephone | 2703859208 |
| Practice Fax Number | 2703859209 |
| Mailing Telephone | 5022263858 |
| Mailing Fax Number | 5022239829 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD J. WEIDLER (PRESIDENT) |
| Authorized Official Telephone | 2703859208 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
9321 KY 80-EAST |
| City | RUSSELL SPRINGS |
| State | KY |
| Zip Code | 42728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598234114 | Spectrum Care Academy Bluegrass 2 | Psychiatric Residential Treatment Facility | 1175 Cane Valley Rd., Columbia, KY 42728 | 2018-11-14 |
| 1588176812 | Yuichi Kitagawa | Family Medicine | 803 Burksville St, Columbia, KY 42728 | 2017-10-26 |
| 1265983118 | Samantha Giles | Occupational Therapist | 700 Coy Trce, Columbia, KY 42728 | 2016-10-16 |
| 1164804720 | Cumberland Family Medical Center, Inc. | Clinic/Center | 158 Colonel Casey Drive, Columbia, KY 42728 | 2015-06-19 |
| 1164812509 | Eric Henderson Coomer | Registered Nurse | 85 Downey Drive, Columbia, KY 42728 | 2015-01-23 |
| 1154742518 | Mckinsey C Matney | Speech-Language Pathologist | 638 Huntington Way, Columbia, KY 42728 | 2014-01-02 |
| 1619309861 | Lake Cumberland District Health Department | Public Health or Welfare | 158 Col Casey Drive, Columbia, KY 42728 | 2013-07-30 |
| 1184872475 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2988 Burkesville Rd., Columbia, KY 42728 | 2008-08-29 |
| 1346412301 | Adair County Hospital District | Home Health | 904-b Westlake Drive, Columbia, KY 42728 | 2008-03-31 |
| 1922207513 | Columbia Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 937 Campbellsville Road, Columbia, KY 42728 | 2007-07-13 |
| Find all providers in zip 42728 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821068552 | Angela Yvonne Cundiff-roy | Internal Medicine | 72 Joe T. Pettey Dr., Russell Springs, KY 42642 | 2006-01-25 |
| 1003229220 | Stefanie Dolen | Internal Medicine | 404 Steve Dr, Russell Springs, KY 42642 | 2014-06-05 |
| 1417008756 | Robert L. Bertram | Internal Medicine | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587555 | Isaiah House Inc | Internal Medicine | 975 Hustonville Rd Ste 9, Danville, KY 40422-2165 | 2020-10-30 |
| 1245830017 | James Duncan Md Consulting Service | Internal Medicine | 109 Venetian Way, Danville, KY 40422-9028 | 2020-10-29 |
| 1689280216 | Hmps Internal Medicine of West Louisville Pllc | Internal Medicine | 2730 Brownsboro Rd Apt 164, Louisville, KY 40206-1268 | 2020-09-18 |
| 1548887086 | Neck Back & Knee Center Inc | Internal Medicine | 7560 Us 42 Ste A, Florence, KY 41042-1908 | 2020-07-01 |
| 1295351484 | Commonwealth Health Corporation, Inc | Internal Medicine | 350 Park St Ste 102, Bowling Green, KY 42101-1700 | 2020-06-23 |
| 1518594282 | Integra-telemedicine | Internal Medicine | 4108 Clearwater Way, Lexington, KY 40515-6000 | 2020-03-24 |
| 1356985907 | Peter Aliu Md Pllc | Internal Medicine | 103 Stable Way, Nicholasville, KY 40356-8047 | 2019-11-06 |
| 1609420272 | Telemedicine House Calls, LLC | Internal Medicine | 2161 S Boundary Rd, Radcliff, KY 40160-9686 | 2019-07-31 |
| 1174085203 | New Hope Recovery LLC | Internal Medicine | 2503 Bush Ridge Dr Ste A, Louisville, KY 40245-5885 | 2019-04-06 |
| 1104383322 | New Dawn 365 Centers Pllc | Internal Medicine | 2101 Wiltshire Pl, Lexington, KY 40515-1167 | 2019-02-24 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELL SPRINGS |
| Zip Code | 42728 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.