Active NPI
Charles A Richert, MD
- Anatomic Pathology & Clinical Pathology Physician
- Olympia, WA
National Provider Identifier
1376502260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD00035845
- Practice address
- 413 Lilly Rd NE
Providence St Peter Hospital
Olympia, WA 98506-5166 - Phone
- (360) 491-9480
- Fax
- (360) 459-4361
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD00035845 | WA | Primary |
Addresses
Primary practice location
413 Lilly Rd NE
Providence St Peter Hospital
Olympia, WA 98506-5166
Mailing address
PO Box 3941
Seattle, WA 98124-3941
Phone (360) 459-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8222333 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00035845 | WA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cellnetix Pathology, PLLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Cellnetix Pathology, PLLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Cellnetix Pathology, PLLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Anatomic Pathology & Clinical Pathology Physician
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- NPI 1356310866
-
- Anatomic Pathology & Clinical Pathology Physician
- Seattle, WA
- NPI 1972563385
-
- Anatomic Pathology & Clinical Pathology Physician
- Tucson, AZ
- NPI 1598624207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376502260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3941",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981243941",
"telephone_number": "360-459-7770",
"fax_number": "360-459-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 LILLY RD NE",
"address_2": "PROVIDENCE ST PETER HOSPITAL",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065166",
"telephone_number": "360-491-9480",
"fax_number": "360-459-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHERT",
"first_name": "CHARLES",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "MD00035845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8222333",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.