Matthew TY Reddick, DO

Internal Medicine Physician · Joplin, MO

Individual Active NPI

NPI number 1194393249

Practice location

100 Mercy Way
Joplin, MO 64804-4524
Phone
(417) 781-2727

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NPI record

NPI
1194393249
Entity type
Individual (Type 1)
Enumeration date
June 15, 2021
Last updated
July 22, 2024
Certified
July 11, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 2024016785 MO
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

1400 E Downing St
Tahlequah, OK 74464-3324
Phone
(918) 456-0641

Other practice locations (1)

  • 1400 E Downing St, Tahlequah, OK 74464-3324 · (918) 456-0641

About Dr. Reddick

Matthew TY Reddick, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 100 Mercy Way, Joplin, MO 64804-4524. The NPI number 1194393249 was assigned on June 15, 2021 and the record was last updated on July 22, 2024.

Dr. Reddick lists a license in the registry: #2024016785 (MO) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew TY Reddick, DO?

The NPI number is 1194393249.

What is the phone number of Dr. Reddick?

The phone number listed for the practice location is (417) 781-2727.

Where is Dr. Reddick located?

100 Mercy Way, Joplin, MO 64804-4524.

What is the taxonomy code for Dr. Reddick?

The primary taxonomy code is 207R00000X – Internal Medicine Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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