Organization Active NPI

Richter Family Medicine and Wellness

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1104315654
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9500434 Issued in NC
Legal business name
RICHTER FAMILY MEDICINE AND WELLNESS
Practice address
5500 W Friendly Ave Ste 201
Greensboro, NC 27410-4368
Phone
(336) 324-8011
NPI assigned
May 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Karen Richter, MDNPI 1942223623
Title
Owner
Phone
(336) 324-8011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 9500434 NC Primary

Addresses

Primary practice location

5500 W Friendly Ave Ste 201
Greensboro, NC 27410-4368

Mailing address

1102 Lakewood Dr
Greensboro, NC 27410-4438
Phone (336) 324-8011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181102001390 NC Part B Supplier - Clinic/Group Practice 8325394554 Receives reassigned benefits from 1 practitioner
Practice locations: Greensboro, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2150751Richter Family Medicine and Wellness5500 West Friendly Avenue, Suite 201, Greensboro, NC 27410Certificate of waiverJul 2, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1104315654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 LAKEWOOD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104438",
            "telephone_number": "336-324-8011",
            "fax_number": "336-232-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 W FRIENDLY AVE STE 201",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104368",
            "telephone_number": "336-324-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHTER FAMILY MEDICINE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-324-8011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9500434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.