Individual provider Active NPI

Richard L Schultz, M.D.

  • Otolaryngology Physician
  • Oak Ridge, TN
National Provider Identifier
1396738043
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
27866 Issued in KY
Practice address
800 Oak Ridge Tpke
Suite C-100
Oak Ridge, TN 37830-6957
Phone
(865) 483-2288
Fax
(865) 482-4400
NPI assigned
Aug 29, 2005
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 27866 KY Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 8288 TN

Addresses

Primary practice location

800 Oak Ridge Tpke
Suite C-100
Oak Ridge, TN 37830-6957

Mailing address

800 Oak Ridge Tpke
Suite C-100
Oak Ridge, TN 37830-6957
Phone (865) 483-2288

Other identifiers 10

IdentifierTypeStateIssuer
4531OtherKYCHA
00000252843OtherKYATHEM BLUE CROSS
3028798OtherTNBLUE CROSS BLUE SHIELD
620897289001OtherKYBLUEGRASS FAMILY HEALTH
C10004OtherKYCUMBERLAND HEALTHCARE
64772809MedicaidKY
62089728901OtherTNUHC RIVER VALLEY
3001269MedicaidTN
100012042OtherTNPHP TENNCARE
4034805OtherTNAETNA

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

LicenseStateTypeSpecialty
8288TNMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1396738043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OAK RIDGE TPKE",
            "address_2": "SUITE C-100",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306957",
            "telephone_number": "865-483-2288",
            "fax_number": "865-482-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK RIDGE TPKE",
            "address_2": "SUITE C-100",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306957",
            "telephone_number": "865-483-2288",
            "fax_number": "865-482-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "27866",
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TN",
            "license": "8288",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "4531",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHEM BLUE CROSS",
            "identifier": "00000252843",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3028798",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "620897289001",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CUMBERLAND HEALTHCARE",
            "identifier": "C10004",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64772809",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC RIVER VALLEY",
            "identifier": "62089728901",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001269",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP TENNCARE",
            "identifier": "100012042",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4034805",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.