Individual provider Active NPI

Donald E. Richardson, M.D.

  • Interventional Pain Medicine Physician
  • Covington, LA
National Provider Identifier
1184676488
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
008094 Issued in LA
Practice address
1200 Pinnacle Pkwy Ste 7
Covington, LA 70433
Phone
(985) 643-4144
Fax
(985) 643-3603
NPI assigned
May 16, 2006
Last updated
May 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 008094 LA
Interventional Pain Medicine Physician 208VP0014X 008094 LA Primary

Addresses

Primary practice location

1200 Pinnacle Pkwy Ste 7
Covington, LA 70433

Mailing address

1200 Pinnacle Pkwy
Suite 7
Covington, LA 70433
Phone (985) 643-4144

Other identifiers 2

IdentifierTypeStateIssuer
P00674774OtherLARAILRAOD MEDICARE
1058840MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060308000222 LA Practitioner - Pain ManagementPractitioner - Neurosurgery 3274540752 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
008094LAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pain & Anesthesia Consultants LLC Interventional Pain Medicine CurrentSince Aug 3, 2010 Accepting new patients
Southern Pain & Anesthesia Consultants, LLC CurrentSince Aug 3, 2010 Accepting new patients
University Healthcare Systems, LC Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
University Healthcare System, L.C. Past Accepting new patients

Locations

1200 Pinnacle Pkwy
Ste 7
Covington, LA 70433
Phone (985) 643-4144

4633 Wichers Dr
Ste 200
Marrero, LA 70072
Phone (504) 328-0000

3348 W Esplanade Ave S
Ste A
Metairie, LA 70002
Phone (504) 455-2240

Interoperability endpoints

  • Direct secure messaging: donald.richardson.p1@direct.southernpain.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1184676488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PINNACLE PKWY",
            "address_2": "SUITE 7",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-643-4144",
            "fax_number": "985-643-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PINNACLE PKWY STE 7",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-643-4144",
            "fax_number": "985-643-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DONALD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "008094",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "008094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "P00674774",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1058840",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.