Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan R Redwing, PA-C

Individual provider Surgical Physician Assistant · NPI 1649309410

Jonathan R Redwing, PA-C is a Physician Assistant in Tyler, Texas. Qualified in 2007, 19 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New Mexico and Texas.

Years since qualifying
19
Licensed in
NM, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3414 Golden Rd
Tyler, TX 75701-8336
Phone: (903) 939-7500
Fax: (903) 939-7728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2211 S Loop 256, Palestine, TX 75801-4701 — (903) 939-7500

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA07915 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA20070012 (NM)

Record details

NPI number1649309410
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 5, 2007
Last updated in NPPESOctober 23, 2022
Certification dateOctober 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tyler