Gregory V. Richardson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01032282A Issued in IN

Practice address

505 N. Wabash Ave
Marion, IN 46952

Phone

(765) 662-3971

Fax

(765) 668-6718

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1215095773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N. WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "46952",
            "telephone_number": "765-662-3971",
            "fax_number": "765-668-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N. WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "46952",
            "telephone_number": "765-662-3971",
            "fax_number": "765-668-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "GREGORY",
        "middle_name": "V.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01032282",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01032282A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100323530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristan Allan Rice, RBT
• Richard a. Evanseck, DDS,PC
• Kaytlyn Richard
• Aubrey Kristen Richards
• Adam D Richardson, DDS
• Katelyn Richter, RBT
• Dean B Ricks, MD
• Courtney Riddle
• Darla Riddle, PTA
• Jessalyn Riddle, RBT

• Psychiatry Physician in Marion, IN
• Providers in Marion, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.