Provider Demographics
NPI:1740536804
Name:REDINGTON, JADON LEE (PA-C)
Entity type:Individual
Prefix:
First Name:JADON
Middle Name:LEE
Last Name:REDINGTON
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 172263
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-2263
Mailing Address - Country:US
Mailing Address - Phone:248-983-5308
Mailing Address - Fax:720-360-1195
Practice Address - Street 1:8500 PARK MEADOWS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LONETREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2742
Practice Address - Country:US
Practice Address - Phone:303-367-2225
Practice Address - Fax:303-343-8702
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2024-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO0003494363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical