Jonathan Patrick Richard, M.D., P.A.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G3730 Issued in TX

Practice address

5009 Thompson Ter
Suite 102
Colleyville, TX 76034-5850

Phone

(817) 581-6800

Fax

(817) 581-6080

NPI assigned

Jul 6, 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 names 1

• Dr. Jonathan Richard Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1386676104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 THOMPSON TERRACE",
            "address_2": "SUITE 102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "76034",
            "telephone_number": "817-581-6800",
            "fax_number": "817-581-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 THOMPSON TER",
            "address_2": "SUITE 102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345850",
            "telephone_number": "817-581-6800",
            "fax_number": "817-581-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "JONATHAN",
        "middle_name": "PATRICK",
        "credential": "M.D., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G3730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "RICHARD",
            "prefix": "DR.",
            "credential": "M.D., P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Revolution Med Group, LLC
• Allison Blair Rezentes, MS, RD/LD
• Rgen Labs LLC
• Madison Elizabeth Rhodes
• Richard C. Grossman, D.O., P.a. (Metropolitan Surgical Specialties)
• Angela Richardson
• Sarah Richmond, LCSW
• Lisa M Riell, CPM, LM
• Mollie Michelle Ripple, MOT, OTR/L
• Leo Robb III, DO

• Internal Medicine Physician in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.