Individual provider Active NPI

Julee K. Richards, M.D.

  • Dermatology Physician
  • Roseburg, OR
National Provider Identifier
1467475137
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD17078 Issued in OR
Practice address
341 Medical Loop Ste 110
Roseburg, OR 97471-5546
Phone
(541) 440-2165
Fax
(541) 440-8932
NPI assigned
Jul 25, 2006
Last updated
Jul 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD17078 OR Primary

Addresses

Primary practice location

341 Medical Loop Ste 110
Roseburg, OR 97471-5546

Mailing address

341 Medical Loop Ste 110
Roseburg, OR 97471-5546
Phone (541) 440-2165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000486 OR Practitioner - Dermatology 0345130019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Derm-Blackhart, PLLC Dermatology CurrentSince Jan 1, 2022 Accepting new patients
Mountain West Derm - Blackhart PLLC Dermatology CurrentSince Jan 1, 2022 Accepting new patients
Bend Dermatology Clinic LLC Dermatology Current Accepting new patients
Mountain West Derm - Blackhart PLLC Dermatology Current Accepting new patients

Locations

2747 NE Conners Ave
Bend, OR 97701
Phone (541) 322-1980

341 NW Medical Loop
Ste 110
Roseburg, OR 97471
Phone (541) 440-2165

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1467475137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MEDICAL LOOP STE 110",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715546",
            "telephone_number": "541-440-2165",
            "fax_number": "541-440-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MEDICAL LOOP STE 110",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715546",
            "telephone_number": "541-440-2165",
            "fax_number": "541-440-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "JULEE",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD17078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.