Active NPI
Richard Edward Hamilton Jr., M.D.
- Obstetrics & Gynecology Physician
- Mammoth Lakes, CA
National Provider Identifier
1174675003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G034133
- Practice address
- 1582 Forest Trail
Mammoth Lakes, CA 93546 - Phone
- (760) 914-0693
- Fax
- (760) 934-3215
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G034133 | CA | Primary |
Addresses
Primary practice location
1582 Forest Trail
Mammoth Lakes, CA 93546
Mailing address
PO Box 1813
Mammoth Lakes, CA 93546-1813
Phone (760) 914-0693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G034133 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174675003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1813",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "935461813",
"telephone_number": "760-914-0693",
"fax_number": "760-934-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1582 FOREST TRAIL",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "93546",
"telephone_number": "760-914-0693",
"fax_number": "760-934-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "RICHARD",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G034133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mammoth Lakes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.