MATTHEW KENNETH REDD (NPI# 1154642791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154642791 |
| Entity Type | Individual |
| Full Name | MATTHEW KENNETH REDD |
| Credential | D.O. |
| Practice Address |
6028 S Ridgeline Dr 201 Ogden UT 84405-6914 |
| Mailing Address |
6028 S Ridgeline Dr Ste 201 South Ogden UT 84405-6908 |
| Practice Telephone | 8014755400 |
| Practice Fax Number | 8014758614 |
| Mailing Telephone | 8014755400 |
| Mailing Fax Number | 8014758614 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2016-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5115898-1204 | UT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2013012534 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416108 | Matthew Alan Redd | Specialist/Technologist | 121 Gale Lemerand Dr, Gainesville, FL 32611-2051 | 2019-09-16 |
| Street Address |
6028 S RIDGELINE DR 201 |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503696 | Utah Digestive Health Institute | Internal Medicine | 6028 S Ridgeline Dr, #201, Ogden, UT 84405-6914 | 2005-07-22 |
| 1225640717 | Usa Vein Clinics of Utah LLC | Surgery | 6028 S Ridgeline Dr, Ogden, UT 84405-6914 | 2020-08-18 |
| 1710315619 | Ridgeline Surgicenter, LLC | Clinic/Center | 6028 S Ridgeline Dr, Ogden, UT 84405-6914 | 2013-10-31 |
| 1942580162 | Advanced Pain Clinic | Physical Medicine & Rehabilitation | 6028 S Ridgeline Dr, Suite 101, Ogden, UT 84405-6914 | 2011-08-18 |
| 1255527909 | Utah Digestive Health Institute | Internal Medicine | 6028 S Ridgeline Dr, Suite 201, Ogden, UT 84405-6914 | 2007-09-17 |
| 1912960014 | Stephen Talmage Thomson | Dermatology | 6028 S Ridgeline Dr, Suite #102, Ogden, UT 84405-6914 | 2006-04-10 |
| 1114915741 | Nathan C Mcbride | Physician Assistant | 6028 S Ridgeline Dr, Ste 201, Ogden, UT 84405-6914 | 2005-10-07 |
| 1023005808 | Brian W Pugh | Internal Medicine | 6028 S Ridgeline Dr, Ste 201, Ogden, UT 84405-6914 | 2005-10-05 |
| 1932196714 | Dennis W Sobotka | Internal Medicine | 6028 S Ridgeline Dr, #201, Ogden, UT 84405-6914 | 2005-10-05 |
| 1649266776 | Jeffrey S Poole | Internal Medicine | 6028 S Ridgeline Dr, Suite 201, Ogden, UT 84405-6914 | 2005-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| 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 |
|---|---|---|---|---|
| 1639797509 | Ihc Health Services Inc | Internal Medicine | 4387 Harrison Blvd Ste C1, Ogden, UT 84403-3148 | 2020-07-08 |
| 1942610993 | Nickolas Gangwer | Internal Medicine | 4403 Harrison Blvd Ste 3875, Ogden, UT 84403-3332 | 2014-04-29 |
| 1235491994 | Jesse Scott Swift | Internal Medicine | 2473 Woodland Dr, Ogden, UT 84403-5129 | 2012-06-08 |
| 1225355118 | Amce Physicians Group | Internal Medicine | 205 26th St, Suite 14, Ogden, UT 84401-3119 | 2010-04-30 |
| 1821236035 | Walter Evan Brodis | Internal Medicine | 2041 E 6025 S, Ogden, UT 84403-5270 | 2009-01-26 |
| 1265559595 | Shawn David Mcquilkin | Internal Medicine | Wsu Student Health Center, 1128 University Circle, Ogden, UT 84408-1128 | 2007-03-23 |
| 1689771362 | Gilbert E Caillouet Jr. | Internal Medicine | 1292 E 5375 S, Ogden, UT 84403-4544 | 2006-09-17 |
| 1851409544 | Seth R Lewis | Internal Medicine | 555 E 5350 S Ste 7, Ogden, UT 84405-4509 | 2006-08-25 |
| 1518988039 | Donna L Milavetz | Internal Medicine | 1976 Arapaho Cir, Ogden, UT 84403-4648 | 2006-07-21 |
| 1588689095 | John K Reis | Internal Medicine | 760 Holroyd Dr, Ogden, UT 84403-4511 | 2006-07-13 |
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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.