Jessica Redding (NPI# 1588909261, PAC ID# 6800041393) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1588909261 |
| PAC ID by PECOS | 6800041393 |
| Professional Enrollment ID | I20130307000396 |
| Full Name | Jessica Redding |
| Organization Legal Name | MV POCATELLO ENT, LLC |
| Address |
333 N 18th Ave Suite B3 Pocatello ID 83201-3358 |
| Phone Number | 2082322146 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2567706096 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| 130028 | PORTNEUF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 333 N 18th Ave, Suite B3, Pocatello, ID 83201-3358 | 2082322146 | MV POCATELLO ENT, LLC |
| 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 8015812121 | UNIVERSITY OF UTAH ADULT SERVICES |
| 50 N Medical Dr, Salt Lake City, UT 84132-0100 | UNIVERSITY OF UTAH ADULT SERVICES |
| Organization Legal Name | MV POCATELLO ENT, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Donaldson | Otolaryngology | Mv Pocatello Ent, LLC | 333 N 18th Ave, Suite B3, Pocatello, ID 83201-3358 |
| Kraig C Mcgee | Otolaryngology | Mv Pocatello Ent, LLC | 333 N 18th Ave, Suite B3, Pocatello, ID 83201-3358 |
| Street Address |
333 N 18TH AVE SUITE B3 |
| City | POCATELLO |
| State | ID |
| Zip | 83201-3358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger A Cook | Anesthesiology | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Daniel D Snell | Anesthesiology | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| David R Donaldson | Otolaryngology | Mv Pocatello Ent, LLC | 333 N 18th Ave, Suite B3, Pocatello, ID 83201-3358 |
| Luke J Jackson | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Nicholas F Stoddard | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Benson S Roper | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Richard A Marler | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Kenneth M Knapp | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Alex J Bringhurst | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Micah J Scott | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | POCATELLO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jessica 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.