Jay A Richter, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

26947 Issued in CO

Practice address

311 West 14TH Street
Pueblo, CO 81003-2710

Phone

(719) 595-7585

Fax

(719) 595-7589

NPI assigned

Jun 23, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Internal Medicine Associates of Pueblo P.C.

  • Internal Medicine Physician
  • Pueblo, CO
  • NPI 1487664918
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1346276342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WEST 14TH STREET",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032710",
            "telephone_number": "719-595-7585",
            "fax_number": "719-595-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WEST 14TH STREET",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032710",
            "telephone_number": "719-595-7585",
            "fax_number": "719-595-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "JAY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CO",
            "license": "26947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01102035",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01269471",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genevieve Mari Richardson
• Sharon Elizabeth Richardson, M.A.
• Tracy Richardson
• Sherlyn Kay Richert, RN
• Eric Richter, MD
• Brandon Rick
• Philip Mark Rickman, MD
• Melissa Renae Rickwalt, RBT
• Deanna Rider
• Rides 2 Care Transportation

• Adult Medicine Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Adult Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.