Provider Demographics
NPI:1457302762
Name:ARTHRITIS ASSOCIATES OF REDDING, A MEDICAL GROUP
Entity Type:Organization
Organization Name:ARTHRITIS ASSOCIATES OF REDDING, A MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HENRY HARRISON
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:530-241-8822
Mailing Address - Street 1:2510 AIRPARK DR
Mailing Address - Street 2:SUITE #305
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2449
Mailing Address - Country:US
Mailing Address - Phone:530-241-8822
Mailing Address - Fax:530-241-0746
Practice Address - Street 1:2510 AIRPARK DR
Practice Address - Street 2:SUITE #305
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2449
Practice Address - Country:US
Practice Address - Phone:530-241-8822
Practice Address - Fax:530-241-0746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG50653 AND G76391207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0063210Medicaid
CAA51763Medicare UPIN
CAGR0063210Medicaid
CAE68281Medicare UPIN