Active NPI
James Dean Richmond, PA-C
- Medical Physician Assistant
- Fairfield, IA
National Provider Identifier
1457467250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 001289
- Practice address
- 2000B S Main St
Fairfield, IA 52556-9572 - Phone
- (641) 472-4156
- Fax
- (641) 472-9436
- NPI assigned
- Aug 22, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001289 | IA | Primary |
Addresses
Primary practice location
2000B S Main St
Fairfield, IA 52556-9572
Mailing address
2000B S Main St
PO Box 1507
Fairfield, IA 52556-9572
Phone (641) 472-4156
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001289 | IA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1457467250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000B S MAIN ST",
"address_2": "PO BOX 1507",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525569572",
"telephone_number": "641-472-4156",
"fax_number": "641-472-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000B S MAIN ST",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525569572",
"telephone_number": "641-472-4156",
"fax_number": "641-472-9436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "JAMES",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "001289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.