REDICLINIC OF MD, LLC (NPI# 1942650395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942650395 |
| Entity Type | Organization |
| Organization Name | REDICLINIC OF MD, LLC |
| Practice Address |
9 Greenway Plz Suite 2950 Houston TX 77046-0905 |
| Mailing Address |
1230 Bay Dale Dr Arnold MD 21012-2325 |
| Practice Telephone | 7133351731 |
| Practice Fax Number | 7135742794 |
| Mailing Telephone | 7133351731 |
| Mailing Fax Number | 7133584881 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | CATHERINE S PETTIGREW (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 7133351731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245633221 | Rediclinic of Md, LLC | Clinic/Center | 101 Reisterstown Rd., Pikesville, MD 21208-6102 | 2014-10-03 |
| 1659774644 | Rediclinic of Md, LLC | Clinic/Center | 6130 Baltimore Avenue, Riverdale, MD 20737-1905 | 2014-10-03 |
| 1730582867 | Rediclinic of Md, LLC | Clinic/Center | 11917-19 Reisterstown Rd., Reisterstown, MD 21136-3030 | 2014-10-03 |
| 1750731873 | Rediclinic of Md, LLC | Clinic/Center | 8701 Georgia Ave, Suite 100, Silver Spring, MD 20910-3713 | 2016-06-20 |
| 1053789768 | Rediclinic of Md, LLC | Clinic/Center | 250 Englar Road, Ste. 22, Westminster, MD 21157-2927 | 2015-09-11 |
| 1528447539 | Rediclinic of Md, LLC | Clinic/Center | 25 Jones Station Rd W, Severna Park, MD 21146-4200 | 2015-05-22 |
| 1841677465 | Rediclinic of Md, LLC | Clinic/Center | 5 Bel Air South Parkway, Ste. 1347, Bel Air, MD 21015-3809 | 2015-05-04 |
| 1356728984 | Rediclinic of Md, LLC | Clinic/Center | 8601 Baltimore National Pike, Ellicott City, MD 21043-4176 | 2015-05-04 |
| 1962805762 | Rediclinic of Md, LLC | Clinic/Center | 9810 Apollo Dr, Largo, MD 20774-4824 | 2014-10-07 |
| 1346643392 | Rediclinic of Md, LLC | Clinic/Center | 6300 York Road, Baltimore, MD 21212-2635 | 2014-10-06 |
| Street Address |
9 GREENWAY PLZ SUITE 2950 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77046-0905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720275282 | Latina Blair | Physician Assistant | 9 Greenway Plz, Suite 2950, Houston, TX 77046-0905 | 2007-09-28 |
| 1255872495 | Erika Medlow Braxton | Nurse Practitioner | 9 Greenway Plz, Suite 2950, Houston, TX 77046-0905 | 2017-03-20 |
| 1356746937 | Elena Babina Shaw | Nurse Practitioner | 9 Greenway Plz, Houston, TX 77046-0905 | 2014-10-25 |
| 1720482573 | Wehazit Petros | Hospitalist | 9 Greenway Plz, Suite 2950, Houston, TX 77046-0905 | 2014-10-21 |
| 1821335456 | Kosisochi Agube | Nurse Practitioner | 9 Greenway Plz, Houston, TX 77046-0905 | 2013-01-16 |
| 1730448085 | Justine D Elling | Nurse Practitioner | 9 Greenway Plz, Suite 2950, Houston, TX 77046-0905 | 2012-05-08 |
| 1851532444 | Martha S Dixon | Physician Assistant | 9 Greenway Plz, Suite 2950, Houston, TX 77046-0905 | 2009-03-12 |
| 1841438348 | Rediclinic Holdings LLC | Nurse Practitioner | 9 Greenway Plz, Suite 2950, Houston, TX 77046-0905 | 2009-01-22 |
| 1275782633 | Rcmh, LLC | Clinic/Center | 9 Greenway Plz, Suite 2950, Houston, TX 77046-0905 | 2008-09-10 |
| 1033382205 | Rediclinic Us, LLC | Clinic/Center | 9 Greenway Plz, Suite 2950, Houston, TX 77046-0905 | 2008-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316235500 | Candice Aycox | Nurse Practitioner | 9 East Greenway Plaza, Suite 2950, Houston, TX 77046 | 2011-07-21 |
| 1124355052 | Susan Cooley King | Nurse Practitioner | 9 Greenway Plaza, Suite 2950, Houston, TX 77046 | 2009-11-13 |
| 1750348348 | Karen Hill | Internal Medicine | 9 Greenway Plaza, Suite 2950, Rediclinic, Houston, TX 77046 | 2006-04-27 |
| 1659365195 | Jaime F Recasens | Dermatology | 24 Greenway Plaza, Suite 950 Weslayan Tower, Houston, TX 77046 | 2005-09-09 |
| 1811060411 | Nanette S Stephens | Psychologist | 24 Greenway Plaza, Suite 1703, Houston, TX 77046 | 2006-11-15 |
| 1598154320 | Baylor College of Medicine | Anesthesiology | Two Greenway Plaza, Suite 900, Houston, TX 77046-0205 | 2015-01-16 |
| 1801291919 | Baylor College of Medicine | Anesthesiology | 2 Greenway Plaza, Suite 900, Houston, TX 77046-0205 | 2014-10-31 |
| 1629473731 | Baylor College of Medicine | Anesthesiology | 2 Greenway Plaza, Suite 900, Houston, TX 77046-0205 | 2014-10-31 |
| 1447386446 | Amanda Nell Gunn | Nurse Anesthetist, Certified Registered | 2 Greenway Plz Ste 300, Houston, TX 77046-0207 | 2007-02-26 |
| 1457507931 | Athis Arunachalam | Pediatrics | 2 Greenway Plz Ste 300, Houston, TX 77046-0207 | 2008-08-15 |
| Find all providers in zip 77046 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1609494152 | Gmed Global LLC | Clinic/Center | 11110 Bellaire Blvd Ste 203, Houston, TX 77072-2610 | 2020-07-10 |
| 1063048288 | Brsi Lp | Clinic/Center | 1111 North Loop W Ste 1000, Houston, TX 77008-4717 | 2020-03-19 |
| 1861023384 | Medipoint Analysis | Clinic/Center | 3726 Dacoma St Ste 225, Houston, TX 77092-8906 | 2020-02-03 |
| 1306477765 | Bellora Health | Clinic/Center | 3726 Dacoma St Ste 240, Houston, TX 77092-8906 | 2020-02-03 |
| 1396376752 | Renova Medical | Clinic/Center | 3726 Dacoma St Ste 250, Houston, TX 77092-8906 | 2020-02-03 |
| 1861032955 | Complete Care Clinic | Clinic/Center | 507 N Sam Houston Pkwy E Ste 440, Houston, TX 77060-4007 | 2020-01-07 |
| 1316583719 | Sleep Wave Center LLC | Clinic/Center | 3400 Bissonnet St Ste 135, Houston, TX 77005-2163 | 2019-11-20 |
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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.