Organization Active NPI

Richardson & Baker PC

  • Medical Specialty Clinic/Center
  • Jasper, AL
National Provider Identifier
1154595577
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
RICHARDSON & BAKER PC
Practice address
3400 Highway 78 E
Medical Arts Tower Suite 502
Jasper, AL 35501-8907
Phone
(205) 221-4916
Fax
(205) 221-4939
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Cheryl Waldrop
Title
Office MGR
Phone
(205) 221-4916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X AL Primary

Addresses

Primary practice location

3400 Highway 78 E
Medical Arts Tower Suite 502
Jasper, AL 35501-8907

Mailing address

3400 Highway 78 E
Medical Arts Tower Suite 502
Jasper, AL 35501-8907
Phone (205) 221-4916

Other identifiers 1

IdentifierTypeStateIssuer
528300590MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050401000570 AL Part B Supplier - Clinic/Group Practice 7113974148 Receives reassigned benefits from 6 practitioners
Practice locations: Jasper, AL

National Provider Directory

National Provider Directory

Locations

3400 Highway 78 E
Ste 502
Jasper, AL 35501
Phone (205) 221-4916

Practitioners & affiliated clinicians

Practitioners 8

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": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1154595577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "address_2": "MEDICAL ARTS TOWER SUITE 502",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018907",
            "telephone_number": "205-221-4916",
            "fax_number": "205-221-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "address_2": "MEDICAL ARTS TOWER SUITE 502",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018907",
            "telephone_number": "205-221-4916",
            "fax_number": "205-221-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON & BAKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "205-221-4916"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528300590",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.