Active NPI
David Richter, MD
- Emergency Medicine Physician
- Shawano, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 75321
- Practice address
- 100 County Road B
Shawano, WI 54166-7072 - Phone
- (715) 526-6464
- Fax
- (715) 526-9174
- NPI assigned
- May 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 75321 | WI | Primary |
Addresses
Primary practice location
100 County Road B
Shawano, WI 54166-7072
Mailing address
11234 Anderson St
Loma Linda, CA 92354-2804
Other practice location 1
11234 Anderson Street
Loma Linda University Health Emergency Medicine
Loma Linda, CA 92354-2840
Phone (909) 558-4085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210628002671 | WI | Practitioner - Emergency Medicine | 2062813025 | Reassigns benefits to 8 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Loma Linda University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Green Bay Emergency Medicine Services SC
Practice addresses (Care Compare)
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-3500
Hospital & facility affiliations
- Bellin Memorial Hospital
- Thedacare Medical Center - Shawano
- Thedacare Medical Center-Waupaca
- Bellin Health Oconto Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75321 | WI | MD | Emergency Medicine Physician |
Practice roles
Locations
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
250 W 6th Ave
Oshkosh, WI 54902
Phone (920) 237-5000
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
601 Grove Ave
Wild Rose, WI 54984
Phone (888) 287-4488
Interoperability endpoints
- drichter1088506@direct.emplifyhealth.org
- drichter308492@direct.thedacare.org
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Green Bay, WI
- NPI 1366424111
Emergency Medicine, WI
-
- Critical Access Hospital
- New London, WI
- NPI 1538127220
WI
-
- Emergency Medicine Physician
- Waupaca, WI
- NPI 1780782680
Emergency Medicine, WI
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1902832306
WI
-
- Anatomic Pathology & Clinical Pathology Physician
- Waupaca, WI
- NPI 1861434631
-
- Community/Retail Pharmacy
- Berlin, WI
- NPI 1043072291
-
- Medicare Defined Swing Bed Hospital Unit
- New London, WI
- NPI 1639182926
-
- Community/Retail Pharmacy
- Shawano, WI
- NPI 1306516604
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
Hospital
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1013995521
Hospital
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1710333893
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1225565237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COUNTY ROAD B",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541667072",
"telephone_number": "715-526-6464",
"fax_number": "715-526-9174"
}
],
"practiceLocations": [
{
"address_1": "11234 Anderson Street",
"address_2": "Loma Linda University Health Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923542840",
"country_code": "US",
"telephone_number": "909-558-4085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHTER",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-22",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "75321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawano, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.