Justin T Rich, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35-088305 Issued in OH

Practice address

9075 Town Centre Dr Ste 110
Broadview HTS, OH 44147-4046

Phone

(440) 526-6630

Fax

(440) 526-1487

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jrich23882@ehrdirect.uhhospitals.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Primary Care Practices

  • Pediatrics Physician
  • Twinsburg, OH
  • NPI 1326166752
  NPD (past)
• University Primary Care Practices Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1154375681

  Pediatrics

  NPD (past)
• University Primary Care Practices Inc

  • Urgent Care Clinic/Center
  • North Olmsted, OH
  • NPI 1467533885
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1023022183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "440-526-6630",
            "fax_number": "440-526-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 TOWN CENTRE DR STE 110",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441474046",
            "telephone_number": "440-526-6630",
            "fax_number": "440-526-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "JUSTIN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-088305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2680906",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina J Potonic
• Susan M Powers, MA,CCC,SLP
• Emily K Quade, MA,CCC,SLP
• Christina Marie Raftery, C.N.P.
• Kathryn Ranieri, OTR/L
• Jenna Salupo
• Kristina Sanson, RN
• Rosemarie Theresa Santiago, LPN
• Sarah C Saunders
• Robert Carl Schmidt, DDS

• Pediatrics Physician in Broadview HTS, OH
• Providers in Broadview HTS, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.