MEDICARE: DR. JAMES GLAS REDMANN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	022350	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235119439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES GLAS REDMANN M.D.

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	985-234-3000
Fax Number	:	225-765-9196

Provider Business Practice Location Address
First Line	:	7015 HIGHWAY 190 EAST SERVICE RD
Second Line	:	STE 200
City	:	COVINGTON
State	:	LA
Zip	:	70433-4960
Country	:	US
Telephone Number	:	985-234-3000
Fax Number	:	985-234-3002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	04/15/2024

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