Provider Demographics
NPI:1922075928
Name:PATRICIA A. REDDY, M.D., P.C.
Entity Type:Organization
Organization Name:PATRICIA A. REDDY, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-791-2620
Mailing Address - Street 1:2025 TECHNOLOGY PKWY
Mailing Address - Street 2:SUITE# 212
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-9400
Mailing Address - Country:US
Mailing Address - Phone:717-791-2620
Mailing Address - Fax:717-791-2629
Practice Address - Street 1:2025 TECHNOLOGY PKWY
Practice Address - Street 2:SUITE# 212
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-9400
Practice Address - Country:US
Practice Address - Phone:717-791-2620
Practice Address - Fax:717-791-2629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Multi-Specialty
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty
Not Answered363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01503701OtherHIGHMARK BC RENDERING #
PA01503701OtherKEYSTONE HLTH PLAN RENDER
PARE1751023OtherBLUE SHIELD BILLING #
PA0205300OtherHIGHMARK BC BILLING #
PA074706OtherBLUE SHIELD RENDERING #
PAC29074OtherHEALTH AMERICA BILLING #
PA02505300OtherKEYSTONE HLTH PLAN BILLIN
PA4598939OtherAETNA BILLING #
PA588369OtherAETNA RENDERING #