Active NPI
Allen C Richmond MD PC
- Ophthalmology Physician
- Philadelphia, PA
National Provider Identifier
1336273184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ALLEN C RICHMOND MD PC
- Practice address
- 3998 Red Lion Rd
302
Philadelphia, PA 19114-1436 - Phone
- (215) 824-1717
- Fax
- (215) 281-0759
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allen Charles Richmond, M.D.
- Title
- Ophthalmologist
- Phone
- (215) 824-1717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
3998 Red Lion Rd
302
Philadelphia, PA 19114-1436
Mailing address
3998 Red Lion Rd
302
Philadelphia, PA 19114-1436
Phone (215) 824-1717
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1029401 | Other | PA | KEYSTONE MERCY |
| 0006169250001 | Medicaid | PA | |
| 3341 | Other | PA | AETNA |
| 3430693000 | Other | PA | KEYSTONE/PERSONAL CHOICE |
| 072502 | Other | PA | BLUE SHIELD |
| 19131 | Other | PA | HEALTH PARTNERS |
| DG8566 | Other | PA | PALMETTO GBA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1336273184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 RED LION RD",
"address_2": "302",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141436",
"telephone_number": "215-824-1717",
"fax_number": "215-281-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 RED LION RD",
"address_2": "302",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141436",
"telephone_number": "215-824-1717",
"fax_number": "215-281-0759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEN C RICHMOND MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "RICHMOND",
"authorized_official_first_name": "ALLEN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OPHTHALMOLOGIST",
"authorized_official_telephone_number": "215-824-1717",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1029401",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006169250001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3341",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE/PERSONAL CHOICE",
"identifier": "3430693000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "072502",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "19131",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "DG8566",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.