Richard Allen Allnutt III, MD MPH

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

20982 Issued in KY

Practice address

4881 Sugar Maple Dr
88MDG/SGHJ
Wright Patterson Afb, OH 45433-5529

Phone

(937) 938-3076

NPI assigned

Aug 30, 2012

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1356690820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 5TH ST BLDG 840",
            "address_2": "USAFSAM/FEEG",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454337951",
            "telephone_number": "937-938-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "address_2": "88MDG/SGHJ",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-938-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLNUTT",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "KY",
            "license": "20982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hassan Al-Shammaa
• Mark Christopher Albright, CRNA
• Talib Y Ali, M.D.
• Jose Alicea la Santa, PH.D.
• Jacob Aaron Allgood
• Melissa Leigh Allred, DNP, MS, CNM
• Anthony Jude Almazan, M.D.
• Brett Kirk Anderson, M.D.
• Jeanette Anderson, MSN, RNC-OB, EBP-C
• Collin Joshua Archibald

• Aerospace Medicine Physician in Wright Patterson Afb, OH
• Providers in Wright Patterson Afb, OH by specialty
• Aerospace Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.