Richard Ralph Kaiser, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

012926 Issued in GA

Practice address

1676 Mulkey Rd
Suite C
Austell, GA 30106-1170

Phone

(770) 941-5107

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Children'S Medical Center, P.a.

  • Primary Care Clinic/Center
  • Austell, GA
  • NPI 1821114000
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467522136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 MULKEY RD",
            "address_2": "SUITE C",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061170",
            "telephone_number": "770-941-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 MULKEY RD",
            "address_2": "SUITE C",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061170",
            "telephone_number": "770-941-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "RICHARD",
        "middle_name": "RALPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "012926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00189901A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sushma K C
• Hodo Kahin
• Linet Kairu, FNP -C
• Kaiser Foundation Health Plan of Georgia Inc.
• Kaiser Foundation Health Plan of Georgia, Inc.
• Alexandra Kamman, PT, DPT
• Shalini Kansal, MD
• Charles R Kaplan, M.D.
• Kristen Marie Karellas, PA
• Woderyelesh Kassa, M.D.

• Pediatric Adolescent Medicine Physician in Austell, GA
• Providers in Austell, GA by specialty
• Pediatric Adolescent Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.