Clay Howard Richardson, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

93-266780-1204 Issued in UT

Practice address

1652 Wildcat LN
Suite #1
Ogden, UT 84403-3236

Phone

(801) 393-2249

Fax

(801) 393-9909

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Davis Anesthesiology LLC

  • Anesthesiology Physician
  • Layton, UT
  • NPI 1679525901
  Medicare reassignment NPD Authorized official
• Edward W. Berry MD PC

  • Specialist
  • Ogden, UT
  • NPI 1912111006
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295950731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 SOUTH OLD LAKE LANE",
            "city": "FRUIT HEIGHTS",
            "state": "UT",
            "postal_code": "840373226",
            "telephone_number": "801-497-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 WILDCAT LN",
            "address_2": "SUITE #1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033236",
            "telephone_number": "801-393-2249",
            "fax_number": "801-393-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CLAY",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "93-266780-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Richards, CSW
• Dale Leron Richards II, D.C.
• Shawna R Richards
• Aimee Eddington Richardson
• Charles D Richardson, M.D.
• Marcus Antione Richardson, LAT, ATC, CPT
• Victoria Riches, ATS
• Ryanne Richey
• Sydnor M Richkind, LCSW
• Richsystems, Inc.

• Anesthesiology Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Anesthesiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.