Jeffrey Devin Redshaw (NPI# 1134548597, PAC ID# 3971811902) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1134548597 |
| PAC ID by PECOS | 3971811902 |
| Professional Enrollment ID | I20190828002000 |
| Full Name | Jeffrey Devin Redshaw |
| Organization Legal Name | FIVE VALLEYS UROLOGY |
| Address |
2875 Tina Rd Suite 101 Missoula MT 59808 |
| Phone Number | 40672833665651 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3870497571 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270014 | ST. PATRICK HOSPITAL |
| 270023 | COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2875 Tina Rd, Suite 101, Missoula, MT 59808 | 40672833665651 | FIVE VALLEYS UROLOGY |
| Organization Legal Name | FIVE VALLEYS UROLOGY |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl Roy Westenfelder | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Kevin M Kronner | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Whitney C Martin | Physician Assistant | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Richard L Wiesemann | Physician Assistant | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Christopher George Wicher | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Garrick Richard Simmons | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Street Address |
2875 TINA RD SUITE 101 |
| City | MISSOULA |
| State | MT |
| Zip | 59808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl Roy Westenfelder | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Kevin M Kronner | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Whitney C Martin | Physician Assistant | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Richard L Wiesemann | Physician Assistant | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Christopher George Wicher | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Garrick Richard Simmons | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David I Croteau | Family Medicine | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Karin M Johns | Physician Assistant | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Kelly Marie Gregory | Nurse Practitioner | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Don J Benton | Nurse Practitioner | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Kelly Foster | Nurse Practitioner | Rchp Billings - Missoula LLC | 2230 N Reserve St, Missoula, MT 59808-1364 |
| Carlyn A Doyle | Nurse Practitioner | Rchp Billings - Missoula LLC | 2230 N Reserve St, Missoula, MT 59808-1364 |
| John M Smith | Rheumatology | Rchp Billings - Missoula LLC | 2230 N Reserve St, Missoula, MT 59808-1364 |
| Michelle Bailey | Physician Assistant | Rchp Billings - Missoula LLC | 2230 N Reserve St, Missoula, MT 59808-1364 |
| Mark Alan Dunifer | Physical Therapy | 3620 American Way, Advantage Therapy, Missoula, MT 59808-1379 | |
| Ursula Encell Holloway | Clinical Social Worker | Providence Health and Services Mt | 3075 N Reserve St Q, Grant Creek Primary Care, Missoula, MT 59808-1390 |
| Find all physicians in zip 59808 | |||
| City | MISSOULA |
| Zip Code | 59808 |
| Specialty | UROLOGY |
| City + Specialty | MISSOULA + UROLOGY |
Please comment or provide details below to improve the information on Jeffrey Devin Redshaw.
| 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.