Jack E Redding (NPI# 1295843852, PAC ID# 2668602616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1295843852 |
| PAC ID by PECOS | 2668602616 |
| Professional Enrollment ID | I20140313000684 |
| Full Name | Jack E Redding |
| Organization Legal Name | ALBANY MEDICAL COLLEGE |
| Address |
115 Saratoga Rd Glenville NY 12302-4210 |
| Phone Number | 5182642900 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1759293111 |
| Number of Group Practice Members | 687 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330232 | ST MARY'S HOSPITAL ( TROY ) |
| 330180 | SAMARITAN HOSPITAL |
| 330003 | ALBANY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | SETON HEALTH SYSTEM, INC | |
| 648 Plank Rd, Clifton Park, NY 12065-2062 | 5183734444 | SETON HEALTH SYSTEM, INC |
| 648 Plank Rd, Suite 101, Clifton Park, NY 12065-2062 | 5183734444 | SETON HEALTH SYSTEM, INC |
| 855 Route 146, Clifton Park, NY 12065-3874 | 5183734555 | SETON HEALTH SYSTEM, INC |
| 855 Route 146, Suite 150, Clifton Park, NY 12065-3874 | 5183734555 | SETON HEALTH SYSTEM, INC |
| 115 Saratoga Rd, Glenville, NY 12302-4210 | 5182642900 | ALBANY MEDICAL COLLEGE |
| 115 Saratoga Rd, Suite 110, Glenville, NY 12302-4210 | 5182642900 | ALBANY MEDICAL COLLEGE |
| 713 Troy Schenectady Rd, Latham, NY 12110-2490 | 5187866270 | SETON HEALTH SYSTEM, INC |
| 713 Troy Schenectady Rd, Suite 304, Latham, NY 12110-2490 | 5187866270 | SETON HEALTH SYSTEM, INC |
| 202 S Central Ave, Mechanicville, NY 12118-3522 | 5186646125 | SETON HEALTH SYSTEM, INC |
| 2 Empire Dr, Rensselaer, NY 12144-5730 | SETON HEALTH SYSTEM, INC | |
| 1111 Hudson Ave, Stillwater, NY 12170-3439 | 5186643242 | SETON HEALTH SYSTEM, INC |
| 1300 Massachusetts Ave, Troy, NY 12180-1628 | 5182685000 | SETON HEALTH SYSTEM, INC |
| 1401 Massachusetts Ave, Troy, NY 12180-1621 | 5182686275 | SETON HEALTH SYSTEM, INC |
| 147 Hoosick St, Troy, NY 12180-2393 | SETON HEALTH SYSTEM, INC | |
| 2215 Burdett Ave, Fl 2, Troy, NY 12180-2466 | 5182685890 | SETON HEALTH SYSTEM, INC |
| 2215 Burdett Ave, Troy, NY 12180-2466 | 5182685890 | SETON HEALTH SYSTEM, INC |
| 2231 Burdett Ave, Suite 101, Troy, NY 12180-2480 | SETON HEALTH SYSTEM, INC | |
| 2231 Burdett Ave, Troy, NY 12180-2480 | SETON HEALTH SYSTEM, INC | |
| 500 Federal St, Suite 602, Troy, NY 12180-2832 | 5182727614 | SETON HEALTH SYSTEM, INC |
| 500 Federal St, Troy, NY 12180-2832 | 5182727614 | SETON HEALTH SYSTEM, INC |
| 1 Bell Tower Dr, Watervliet, NY 12189-2333 | 5182686390 | SETON HEALTH SYSTEM, INC |
| Organization Legal Name | ALBANY MEDICAL COLLEGE |
| Physicians | 870 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valencia D Guillaume | Physician Assistant | Albany Medical College | 329 Glenmont Rd, Glenmont, NY 12077-3469 |
| Sarah L Buhelt | Physician Assistant | Albany Medical College | 730 Hoosick Rd, Troy, NY 12180-8777 |
| Waseem Amjad | Internal Medicine | Albany Medical College | 178 Washington Ave Ext, Albany, NY 12203-5304 |
| Maria K Brown | Physician Assistant | Albany Medical College | 1250 Riverfront Ctr, Suite 240, Amsterdam, NY 12010-4602 |
| Anthony S Locascio | Physician Assistant | Albany Medical College | 2976 Route 9w, Saugerties, NY 12477-5234 |
| Morgan Quinn Desa | Nurse Practitioner | Albany Medical College | 98 Wolf Rd, Suite 16, Albany, NY 12205-1226 |
| Sarah K.k Sokil | Pediatric Medicine | Albany Medical College | 100 Great Oaks Blvd, Albany, NY 12203-7919 |
| Emily Micca | Physician Assistant | Albany Medical College | 11835 Rt, 9w, West Coxsackie, NY 12192-3605 |
| Donald Neil Brownell | Physician Assistant | Albany Medical College | 47 New Scotland Ave Mc, Suite 162, Albany, NY 12208-3412 |
| Erin G Deeb | Physician Assistant | Albany Medical College | 7 Price Chopper Plz, Mechanicville, NY 12118-1250 |
| Street Address |
115 SARATOGA RD |
| City | GLENVILLE |
| State | NY |
| Zip | 12302-4210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mina Sun | Internal Medicine | Ellis Hospital | 115 Saratoga Rd, Glenville, NY 12302-4211 |
| Dana Gallacchi | Nurse Practitioner | Ellis Hospital | 115 Saratoga Rd, Glenville, NY 12302-4211 |
| Ryan S Marshall | Nurse Practitioner | Albany Medical College | 115 Saratoga Rd, Suite 110, Glenville, NY 12302-4210 |
| Jacqueline Weaver | Emergency Medicine | Albany Medical College | 115 Saratoga Rd, Suite 110, Glenville, NY 12302-4210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Slome | Psychiatry | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Christopher J Davis | General Practice | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Mohammad H Kabir | Internal Medicine | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Ahmad A Sultan | Physical Medicine and Rehabilitation | Baptist Health Nursing and Rehabilitation Center Inc | 297 N Ballston Ave, Scotia, NY 12302-2427 |
| Sharon L Lyng | Nurse Practitioner | Baptist Health Nursing and Rehabilitation Center Inc | 297 N Ballston Ave, Scotia, NY 12302-2427 |
| David J Cerniglia | Chiropractic | 25 Mohawk Ave, Schenectady, NY 12302-2563 | |
| Amanda J Hodder | Chiropractic | 25 Mohawk Ave, Schenectady, NY 12302-2563 | |
| David T Civale | Chiropractic | 1 Swaggertown Rd, Scotia, NY 12302-3249 | |
| Diane E Bonesteel | Physical Therapy | Physical Therapy Associates of Schenectady PC | 42 Saratoga Rd, Scotia, NY 12302-3412 |
| Lisa H Sawtelle | Physical Therapy | Physical Therapy Associates of Schenectady PC | 42 Saratoga Rd, Scotia, NY 12302-3412 |
| Find all physicians in zip 12302 | |||
| City | GLENVILLE |
| Zip Code | 12302 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GLENVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jack E Redding.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.