Ryan Nelson Richardson, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Connelly Springs, NC
NPI 1346209293 · NPPES record last updated Sep 21, 2018
Key facts
- NPI
- 1346209293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 200000954 (NC)
- Practice address
- 110 Hilltop Street
Connelly Springs, NC 28612 - Phone
- (828) 580-4661
- Fax
- (828) 580-4698
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Ridge Healthcare Medical Group Inc
Practice addresses (Care Compare)
1208 Hickory Blvd SW
Suite 102
Lenoir, NC 28645-6461
Phone (828) 991-4660
Hospital & facility affiliations
- Blue Ridge Healthcare Hospitals, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080828000031 | NC | Practitioner - Obstetrics/Gynecology | 5294809570 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200000954 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Healthcare Medical Group, Inc. | Current |
Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Blue Ridge Healthcare Medical Group, Inc. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Blue Ridge Healthcare Medical Group, Inc. | Past | Accepting new patients | |
| DLP Cardiology Physicians LLC | Past |
Accepting new patients |
Locations
2134 14th Avenue Cir NW
Hickory, NC 28601
Phone (828) 580-2129
1208 Hickory Blvd SW
#102
Lenoir, NC 28645
Phone (828) 991-3278
2293 Sugar Hill Rd
Ste C
Marion, NC 28752
Phone (828) 652-3019
2209 S Sterling St
Ste 400
Morganton, NC 28655
Phone (828) 580-4661
Interoperability endpoints
- rrichardson199720@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 200000954 | NC | Yes |
Addresses
Primary practice location
110 Hilltop Street
Connelly Springs, NC 28612
Mailing address
110 Hilltop Street
Connelly Springs, NC 28612
Phone (828) 580-4661
Other practice location 1
2293 Sugar Hill Rd Ste C
Marion, NC 28752-7787
Phone (828) 652-3019
Other practice location 2
2209 S Sterling St Ste 400
Morganton, NC 28655-4092
Phone (828) 580-4661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346209293 | Medicaid | NC | |
| 89127EU | Medicaid | NC |
Other providers in Connelly Springs, NC
- Laura Susan Padgett
- Jayendrakumar I Patel
- Hailey Cameron Peterson
- Kristy Diane Rainwater
- Shana C Rhyne
- Melissa Rink
- Brandy Hunt Rodriguez
- Michelle S Rogers
- Wenimar D. Salvador
- Scheller Hamren & Associates DDS PLLC
All providers in Connelly Springs, NC · Obstetrics & Gynecology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.