Phillip Oliver Richards, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

4301029346 Issued in MI

Practice address

45546 Appian Way
Indian Wells, CA 92210-6150

Phone

(760) 345-8904

Fax

(760) 345-8510

NPI assigned

Nov 21, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Donald C Jones MD PC

  • Family Medicine Physician
  • Jackson, MI
  • NPI 1972782654
  NPD (past)

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

{
    "created_epoch": "1258761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258761600000",
    "number": "1275861734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45546 APPIAN WAY",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922106150",
            "telephone_number": "760-345-8904",
            "fax_number": "760-345-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45546 APPIAN WAY",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922106150",
            "telephone_number": "760-345-8904",
            "fax_number": "760-345-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "PHILLIP",
        "middle_name": "OLIVER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-21",
        "last_updated": "2009-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4301029346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura G Padron, APN
• Palm Springs Recovery Treatment Center (Mind and Body Recovery)
• Matilde Parente, MD
• Ronald Paul Portnoff, MD
• Vicki Portnoff, M.D.
• Right Hear Palm Springs (Better Hearing Systems)
• Rachelle Eileen Roberts, LMFT
• Alyssa Rodriguez
• Ronald B Bush MD a Professional Corp
• Ronald B Bush MD a Professional Corp

• Addiction Medicine (Family Medicine) Physician in Indian Wells, CA
• Providers in Indian Wells, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2009; 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.