Organization Active NPI

Richards Medical Group

  • Pain Clinic/Center
  • Louisville, KY
National Provider Identifier
1114244472
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
13689 Issued in KY
Legal business name
RICHARDS MEDICAL GROUP
Practice address
1126 S 3Rd St
Louisville, KY 40203-2902
Phone
(502) 749-9550
Fax
(502) 749-9551
NPI assigned
Apr 27, 2010
Last updated
Apr 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Glen Richards, MD
Title
Owner
Phone
(502) 749-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 13689 KY Primary

Addresses

Primary practice location

1126 S 3Rd St
Louisville, KY 40203-2902

Mailing address

1126 S 3Rd St
Louisville, KY 40203-2902
Phone (502) 749-9550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1114244472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032902",
            "telephone_number": "502-749-9550",
            "fax_number": "502-749-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032902",
            "telephone_number": "502-749-9550",
            "fax_number": "502-749-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-749-9550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "KY",
            "license": "13689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.