Organization Active NPI

Gary J Richmond,MD,PA

  • Specialist
  • Fort Lauderdale, FL
National Provider Identifier
1467466466
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GARY J RICHMOND,MD,PA
Practice address
315 SE 14TH St
Fort Lauderdale, FL 33316-1929
Phone
(954) 524-2250
Fax
(954) 524-5833
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Dr. Gary J Richmond, MD
Title
President
Phone
(954) 524-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

315 SE 14TH St
Fort Lauderdale, FL 33316-1929

Mailing address

315 SE 14TH St
Fort Lauderdale, FL 33316-1929
Phone (954) 524-2250

Other identifiers 1

IdentifierTypeStateIssuer
000894200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1467466466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SE 14TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161929",
            "telephone_number": "954-524-2250",
            "fax_number": "954-524-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SE 14TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161929",
            "telephone_number": "954-524-2250",
            "fax_number": "954-524-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY J RICHMOND,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-524-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000894200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.