Provider Demographics
NPI:1275799702
Name:REDDINGTON, MEREDITH RENEE (DO)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:RENEE
Last Name:REDDINGTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MEREDITH
Other - Middle Name:RENEE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2139 EVERGREEN RD
Mailing Address - Street 2:APT 1
Mailing Address - City:OTTAWA HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:43606-2546
Mailing Address - Country:US
Mailing Address - Phone:515-360-6537
Mailing Address - Fax:
Practice Address - Street 1:2213 CHERRY ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2603
Practice Address - Country:US
Practice Address - Phone:419-251-4354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2010-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.009600207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4276522Medicare PIN