Samuel W Richard, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD45571 Issued in WA

Practice address

8507 South 5TH Street
Suite 113
Ridgefield, WA 98642

Phone

(360) 887-9494

Fax

(360) 887-9498

NPI assigned

Jun 23, 2005

Last updated

May 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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 OR

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 Medicine

State licenses

Practice roles

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.

• Northwest Acute Care Specialists PC

  • Emergency Medicine Physician
  • Portland, OR
  • NPI 1215983200
  Medicare reassignment
• Ridgefield Family Medicine, PLLC

  • Family Medicine Physician
  • Ridgefield, WA
  • NPI 1407229719
  NPD (past)
• Cardiology Consults LLC

  • Health Service Clinic/Center
  • Tualatin, OR
  • NPI 1275701740
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1346246303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8904",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986688904",
            "telephone_number": "360-887-9494",
            "fax_number": "360-887-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 SOUTH 5TH STREET",
            "address_2": "SUITE 113",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "98642",
            "telephone_number": "360-887-9494",
            "fax_number": "360-887-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "SAMUEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD45571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nichole Ramey, RDH
• Devon Marie Ratley, L.M.P.
• Stephan Ray
• Reflections Counseling and Equine Assisted Psychotherapy
• Hudson John Reid
• Ridgefield Acupuncture LLC (Ridgefield Acupuncture)
• Ridgefield Chiropractic Clinic
• Ridgefield Chiropractic LLC (Ridgefield Chiropractic)
• Ridgefield Dental Care LLC
• Ridgefield Family Medicine, PLLC

• Family Medicine Physician in Ridgefield, WA
• Providers in Ridgefield, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.