| Timothy James Redden, MD | |
|
5177 Mccarty Ln, Lafayette, IN 47905-8764 | |
| (765) 448-8000 | |
| Not Available |
| Full Name | Timothy James Redden |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 5177 Mccarty Ln, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194915835 | NPI | - | NPPES |
| 300033091 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 94818 (Georgia) | Secondary |
| 208800000X | Urology | 01056617A (Indiana) | Primary |
| Entity Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Entity Name | Porter Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
| Entity Name | Union Associated Physicians Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy James Redden, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Timothy James Redden, MD 5177 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 448-8000 |
Parth Udayan Thakker, MD, MS Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7619 | |
Dr. David Fumo Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7619 | |
Ashwin Ramaswamy, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Samuel Chan Kim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7619 | |
John David Reisman, MD Urology Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7619 | |
Stephen D Beck, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl, Suite 110a, Lafayette, IN 47905 Phone: 765-447-9308 Fax: 765-447-2387 |