DR. CARL M REDDIX (NPI# 1619981107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619981107 |
Entity Type | Individual |
Full Name | DR. CARL M REDDIX |
Credential | M.D. |
Practice Address |
5903 Ridgewood Road, Suite 310 Reddix Medical Group Jackson MS 39211-3702 |
Practice Telephone | 6018993310 |
Practice Fax Number | 6018993314 |
Mailing Telephone | 6018993310 |
Mailing Fax Number | 6018993314 |
Enumeration Date | 2006-07-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
12068 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00011019 | 05 |
Street Address |
5903 RIDGEWOOD ROAD, SUITE 310 REDDIX MEDICAL GROUP |
City | JACKSON |
State | MS |
Zip Code | 39211-3702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770597163 | Maurice Mcshan | Internal Medicine | 5903 Ridgewood Road, Suite 310, Reddix Medical Group, Jackson, MS 39211-3702 | 2006-07-28 |
1437163854 | Michael A Reddix | Internal Medicine | 5903 Ridgewood Road, Suite 310, Reddix Medical Group, Jackson, MS 39211-3702 | 2006-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
Find all providers in zip 39211 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982961728 | Laura Rebecca Daily | Obstetrics & Gynecology | 501 Marshall St Ste G07, Jackson, MS 39202-1651 | 2012-04-18 |
1992828503 | Ann M Fenn | Obstetrics & Gynecology | 62 Redmond St, Jackson, WY 83002 | 2007-04-09 |
1093815474 | Cecil Douglas Odom | Obstetrics & Gynecology | 1020 River Oaks Drive, Ste 310, Jackson, MS 39232 | 2006-09-25 |
1033104070 | Molly Rheney | Obstetrics & Gynecology | 244 Coatsland Dr, Jackson, TN 38301-3948 | 2005-09-15 |
1912174921 | Arthur R Vendola Md PC | Obstetrics & Gynecology | 1100 E Michigan Ave, Suite 202, Jackson, MI 49201-1847 | 2008-05-09 |
1679742951 | Rachel F Clay | Obstetrics & Gynecology | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2008-02-21 |
1114134814 | Jackson Womens Care | Obstetrics & Gynecology | 540 Jett Dr, Jackson, KY 41339-9622 | 2007-05-16 |
1497833446 | Joanne Ruth Kingsley | Obstetrics & Gynecology | 1931 Horton Rd, Suite 8, Jackson, MI 49203-5594 | 2006-11-01 |
1427136472 | Joanne Kingsley Md Pllc | Obstetrics & Gynecology | 1931 Horton Rd, Suite 8, Jackson, MI 49203-5594 | 2006-11-01 |
1790886133 | Beverly Ann Mcmillan | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-26 |
Find all providers in JACKSON |
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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.