Individual provider Active NPI

Eric J Richardson, DPM

  • Foot Surgery Podiatrist
  • Pueblo, CO
National Provider Identifier
1396788873
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
595 Issued in CO
Practice address
2037 Jerry Murphy Rd Ste 100
Pueblo, CO 81001-1256
Phone
(719) 544-5958
Fax
(719) 544-5991
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 595 CO
Foot Surgery Podiatrist 213ES0131X 595 CO Primary

Addresses

Primary practice location

2037 Jerry Murphy Rd Ste 100
Pueblo, CO 81001-1256

Mailing address

2037 Jerry Murphy Rd Ste 100
Pueblo, CO 81001-1256
Phone (719) 544-5958

Other practice location 1

1306 N Grand Ave
Pueblo, CO 81003-2718
Phone (719) 564-1780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006001200 CO Practitioner - Podiatry 4880653773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2037 Jerry Murphy Rd
Suite 100
Pueblo, CO 81001-1256
Phone (719) 544-5958

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue84
Removal of nail tissue493
Removal or shaving of skin growth440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
595COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Foot Care, P.C. CurrentSince Apr 24, 2000 Accepting new patients

Locations

1306 N Grand Ave
Pueblo, CO 81003
Phone (719) 542-9010

2002 Lake Ave
Ste C
Pueblo, CO 81004
Phone (719) 564-1780

2037 Jerry Murphy Rd
Ste 100
Pueblo, CO 81001
Phone (719) 544-5958

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396788873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 JERRY MURPHY RD STE 100",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011256",
            "telephone_number": "719-544-5958",
            "fax_number": "719-544-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 JERRY MURPHY RD STE 100",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011256",
            "telephone_number": "719-544-5958",
            "fax_number": "719-544-5991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810032718",
            "country_code": "US",
            "telephone_number": "719-564-1780",
            "fax_number": "719-564-1781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "595",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CO",
            "license": "595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.