Charles A Richardson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

41822 Issued in AZ

Practice address

600 S Dobson Rd
Suite E-39
Chandler, AZ 85224-5678

Phone

(480) 777-5888

Fax

(480) 777-8996

NPI assigned

Jan 8, 2007

Last updated

Jan 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

Creighton University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Phoenician Medical Center IncGroup PAC ID 0547169708, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Phoenician Medical Center, Inc

  dba East Valley Family Medical and 21st Century Family Medicine

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1891895637
  Medicare reassignment Care Compare group NPD
• Richardson Family Health Center, P.C.

  • Medical Specialty Clinic/Center
  • Rock Springs, WY
  • NPI 1760650980
  NPD (past) Authorized official
• Modern Foot & Ankle Centers, PLLC

  • Podiatrist
  • Gilbert, AZ
  • NPI 1144840273
  NPD (past)
• Palo Verde Clinic, PLLC

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1427087600
  NPD (past)
• Phoenician Cardiac Care LLC

  • Cardiovascular Disease Physician
  • Phoenix, AZ
  • NPI 1972113546
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1215085642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5000",
            "fax_number": "602-470-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD",
            "address_2": "SUITE E-39",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245678",
            "telephone_number": "480-777-5888",
            "fax_number": "480-777-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "41822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rice, M.A. SLP
• David Rich
• Martin Wells Rich, PHARMD
• Stacie Rich
• Richard J Whitman Jr MD
• Richins Dental Group PLLC (Perfect Smiles Dentistry)
• Troy Richins, DDS
• Richlin Hightower Behavioral Health
• Sidney Rickman
• Lisa Rico

• Family Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.