Organization Active NPI

E. David Risch, M.D., P.a.

  • Orthopaedic Surgery Physician
  • Palatka, FL
National Provider Identifier
1134563679
Registry record updated Apr 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME39524 Issued in FL
Legal business name
E. DAVID RISCH, M.D., P.A.
Practice address
6500 Crill Ave
E David Risch
Palatka, FL 32177-9230
Phone
(386) 916-1074
NPI assigned
Apr 27, 2013
Last updated
Apr 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2013

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

Authorized official

Name
Dr. Edward David Risch, M.D.
Title
Owner
Phone
(386) 916-1074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME39524 FL Primary

Addresses

Primary practice location

6500 Crill Ave
E David Risch
Palatka, FL 32177-9230

Mailing address

PO Box 1459
Palatka, FL 32178-1459
Phone (386) 916-1074

Other identifiers 2

IdentifierTypeStateIssuer
066253400MedicaidFL
1437152840OtherTYPE 1 NPI

National Provider Directory

National Provider Directory

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": "1367020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367020800000",
    "number": "1134563679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1459",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321781459",
            "telephone_number": "386-916-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 CRILL AVE",
            "address_2": "E DAVID RISCH",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321779230",
            "telephone_number": "386-916-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. DAVID RISCH, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-27",
        "last_updated": "2013-04-27",
        "status": "A",
        "authorized_official_last_name": "RISCH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-916-1074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME39524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066253400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1437152840",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

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