DR. MARK W REDOR M.D.
NPI 1013963594
Specialist in Placerville, CA

Q: What is Mark Redor's NPI number?

The NPI number for Mark Redor is 1013963594. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Mark Redor's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Redor was last updated on May 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2006

1006 MARSHALL WAY, PLACERVILLE, CA 95667(530) 622-6430(530) 622-3957 Get Directions Write a Review

NPPES record last updated: May 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark W Redor M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK W REDOR M.D. (NPI 1013963594) is an individual specialist in Placerville, California, licensed in California (G56411) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1013963594

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. MARK W REDORCredential: M.D.

Location Address1006 MARSHALL WAYPlacerville, CA 95667-5706

Mailing Address1006 Marshall WayPlacerville, CA 95667-5706 · (530) 622-6430 · Fax (530) 622-3957

Phone(530) 622-6430

Fax(530) 622-3957

Sole ProprietorYes

Enumeration DateMay 26, 2006

Last NPPES UpdateMay 27, 2009

✔ NPI 1013963594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G56411

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1006 MARSHALL WAY, Placerville, CA 95667

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Other Identifiers 4

Medicare PIN00G564110

Medicare ID-Type Unspecified00G564110CA

Medicare UPINF25981

Medicare UPINF25981CA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELIOT ROBERT DRELL M.D.

Specialist

1006 MARSHALL WAY
PLACERVILLE, CA 95667

El Dorado County (530) 622-6430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Redor's NPI number?

The NPI number for Mark Redor is 1013963594. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Mark Redor located?

Mark Redor practices at 1006 Marshall Way, Placerville, CA 95667. The listed phone number is (530) 622-6430.

What is Mark Redor's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mark Redor was last updated on May 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.