Active NPI
Kathryn Rose Richardson Omron, MD
- Pediatrics Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD035059
- Practice address
- 1501 S Clinton St
Suite 200
Baltimore, MD 21224-5730 - Phone
- (410) 522-9940
- NPI assigned
- Dec 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD035059 | DC | Primary |
Addresses
Primary practice location
1501 S Clinton St
Suite 200
Baltimore, MD 21224-5730
Mailing address
3100 Wyman Park Dr
Baltimore, MD 21211-2803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035059 | DC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians, Inc | Pediatrics | Current | Accepting new patients |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Children'S Hospital | Past | Accepting new patients |
Locations
1501 S Clinton St
Ste 200
Baltimore, MD 21224
Phone (410) 522-9940
3100 Wyman Park Dr
Baltimore, MD 21211
Phone (410) 338-3000
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412
Interoperability endpoints
- komron6886@direct.hopkinsmedicine.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1578598868
Pediatrics
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1245390590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 WYMAN PARK DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S CLINTON ST",
"address_2": "SUITE 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212245730",
"telephone_number": "410-522-9940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMRON",
"first_name": "KATHRYN",
"middle_name": "ROSE RICHARDSON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-09",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD035059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.