Organization Active NPI

Richards General Surgery PC

  • Surgery Physician
  • Vernal, UT
National Provider Identifier
1164530903
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5586768-1205 Issued in UT
Legal business name
RICHARDS GENERAL SURGERY PC
Practice address
175 N 100 W
Ste 202
Vernal, UT 84078-2049
Phone
(435) 789-4180
Fax
(435) 781-1185
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. David Taylor Richards, M.D.NPI 1396853206
Title
Onwer/Operator
Phone
(801) 262-2830

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 5586768-1205 UT Primary

Addresses

Primary practice location

175 N 100 W
Ste 202
Vernal, UT 84078-2049

Mailing address

5249 Gravenstein Park
Murray, UT 84123-4562
Phone (801) 262-2830

Other identifiers 2

IdentifierTypeStateIssuer
396421983001MedicaidUT
55878120001OtherUTBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

175 N 100 W
#202
Vernal, UT 84078
Phone (435) 789-4180

175 N 100 W
Ste 202
Vernal, UT 84078
Phone (435) 789-1820

Practitioners & affiliated clinicians

Practitioners 1

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1164530903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 GRAVENSTEIN PARK",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841234562",
            "telephone_number": "801-262-2830",
            "fax_number": "888-893-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N 100 W",
            "address_2": "STE 202",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782049",
            "telephone_number": "435-789-4180",
            "fax_number": "435-781-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDS GENERAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "ONWER/OPERATOR",
        "authorized_official_telephone_number": "801-262-2830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "UT",
            "license": "5586768-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "396421983001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55878120001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.