Richard J Walsh MD LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

R6H83 Issued in MO

Legal business name

RICHARD J WALSH MD LLC

Practice address

3917 Sherman Avenue
St Joseph, MO 64506-3649

Phone

(816) 364-6777

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Joseph Walsh, MDNPI 1952385437

Title

Owner Manager

Phone

(816) 364-6777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Joseph Walsh, MD

  • Dermatology Physician
  • Saint Joseph, MO
  • NPI 1952385437
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306925532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 SHERMAN AVENUE",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "645063649",
            "telephone_number": "816-364-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 SHERMAN AVENUE",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "645063649",
            "telephone_number": "816-364-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J WALSH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "816-364-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MO",
            "license": "R6H83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Dawn Reynolds
• James Reynolds, M.D.
• Mandy Rhoades, LCSW
• Robin R Rhodes
• Haylee Rich
• Curtis J Richardson, MD
• Randi Renee Richardson
• Julia K Rickert
• William Rippe, M.D.
• Rebecca Ripperger

• Dermatology Physician in St Joseph, MO
• Providers in St Joseph, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.