Susan T Redwine
MD | Pediatrics | Female
Susan T Redwine, MD is a Edmond, Oklahoma based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Susan T Redwine is
200 N Bryant Ave, Edmond, Oklahoma - 73034-6273. She can be contacted on phone at
405-330-7000.
Susan T Redwine is a sole proprietor of her business.
NPI number (Unique professional ID) for Susan T Redwine is
1144295775 which was assigned by NPPES on 17 Feb, 2006 and it was last updated on 04 Aug, 2010.
Susan T Redwine license number is
22619 for Pediatrics (208000000X) in Oklahoma.
Susan T Redwine is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Susan T Redwine basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Susan T Redwine |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Susan T Redwine address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 200 N Bryant Ave
Edmond, OK, 73034-6273
United States |
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| Phone Number : | 405-330-7000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1144295775 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Feb, 2006 |
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| Last Updated On : | 04 Aug, 2010 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan T Redwine are as mentioned. Primary taxonomy code for Susan T Redwine, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 22619 | OK |
Legacy Identifiers:
Other legacy medical identifiers of Susan T Redwine such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200066430A | MEDICAID | OK | |
| 30634 | Other | OK | OBNDD |
| 22619 | Other | OK | LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 200 N Bryant Ave
Edmond, OK, 73034-6273
United States |
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| Phone Number : | 406-330-7000 |
|---|
Business Location:
Patients can refer following map for directions to
Susan T Redwine practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.