Robert E Richardson MD Professional Corp.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C23280 Issued in CA

Legal business name

ROBERT E RICHARDSON MD PROFESSIONAL CORP.

Practice address

1812 Happy Valley Road
Santa Rosa, CA 95409

Phone

(707) 545-2436

Fax

(707) 545-8109

NPI assigned

Dec 20, 2010

Last updated

Dec 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Richardson, MD

Title

President

Phone

(707) 545-2436

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1427351162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 HAPPY VALLEY ROAD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95409",
            "telephone_number": "707-545-2436",
            "fax_number": "707-545-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 HAPPY VALLEY ROAD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95409",
            "telephone_number": "707-545-2436",
            "fax_number": "707-545-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E RICHARDSON MD PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-545-2436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C23280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Diane Robbins, RAS
• Andrew Tavares Robello, MS, PHARMD
• Robert a. Yohai, MD, a Professional Corporation
• Robert Alavi D D S Inc (Bright Care Dental Practice)
• Robert Benavides Jr.
• Robert R. Wright , MD, Medical Corporation
• Robert W. Erlach DDS, PC
• Chuck Robert
• Saverio Malik Roberto, DO
• Babette A Roberts, MSW

• Surgery Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.