Individual provider Active NPI

Richard C Lorenzo Jr., D.O

  • Obstetrics & Gynecology Physician
  • Richland, WA
National Provider Identifier
1285747873
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OP 60104325 Issued in WA
Practice address
1045 Jadwin Ave
Richland, WA 99352-3405
Phone
(509) 392-6700
Fax
(509) 392-6699
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101017577 MI
Obstetrics & Gynecology Physician 207V00000X 19319 MS
Obstetrics & Gynecology Physician 207V00000X OP 60104325 WA Primary

Addresses

Primary practice location

1045 Jadwin Ave
Richland, WA 99352-3405

Mailing address

1045 Jadwin Ave
Richland, WA 99352-3405
Phone (509) 392-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20091202000127 WA Practitioner - Obstetrics/Gynecology 3971554460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Healthcare for Women PLLCGroup PAC ID 2264605872, 2 clinicians

Practice addresses (Care Compare)

1045 Jadwin Ave
Richland, WA 99352-3405
Phone (509) 392-6700

Hospital & facility affiliations

  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017577MIMDObstetrics & Gynecology Physician
19319MSMDObstetrics & Gynecology Physician
OP 60104325WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Healthcare for Women PLLC Obstetrics & Gynecology CurrentSince Sep 1, 2011 Accepting new patients
Lucedale OB/GYN Center Obstetrics & Gynecology PastSince Jul 19, 2011 Accepting new patients
Lucedale OBGYN Center Obstetrics & Gynecology Past Accepting new patients
Ohio Valley General Hospital Obstetrics & Gynecology Past Accepting new patients
Arbor Healthcare for Women PC Past Accepting new patients

Locations

1045 Jadwin Ave
Richland, WA 99352
Phone (509) 392-6700

780 Swift Blvd
Ste 200
Richland, WA 99352
Phone (509) 619-7131

Interoperability endpoints

  • Direct secure messaging: richardlorenzo@rlchfw-wa.direct.office.nextgen.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1285747873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523405",
            "telephone_number": "509-392-6700",
            "fax_number": "509-392-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523405",
            "telephone_number": "509-392-6700",
            "fax_number": "509-392-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "RICHARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101017577",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "19319",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "OP 60104325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.