NPIMap

Organization Active NPI

Jonathan Richard, M.D., P.a.

  • Internal Medicine Physician
  • Colleyville, TX
National Provider Identifier
1114334919
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G3730 Issued in TX
Legal business name
JONATHAN RICHARD, M.D., P.A.
Practice address
5009 Thompson Ter
#102
Colleyville, TX 76034-5850
Phone
(817) 581-6800
Fax
(817) 581-6080
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Jonathan Richard, M.D.NPI 1386676104
Title
Ceo
Phone
(817) 581-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G3730 TX Primary

Addresses

Primary practice location

5009 Thompson Ter
#102
Colleyville, TX 76034-5850

Mailing address

5009 Thompson Ter
#102
Colleyville, TX 76034-5850
Phone (817) 581-6800

National Provider Directory

National Provider Directory

Locations

5009 Thompson Ter
Ste 102
Colleyville, TX 76034
Phone (817) 581-6800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1114334919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 THOMPSON TER",
            "address_2": "#102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345850",
            "telephone_number": "817-581-6800",
            "fax_number": "817-581-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 THOMPSON TER",
            "address_2": "#102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345850",
            "telephone_number": "817-581-6800",
            "fax_number": "817-581-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN RICHARD, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-581-6800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G3730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.