Active NPI
Todd A Richards, M.D.
- Obstetrics & Gynecology Physician
- Dothan, AL
National Provider Identifier
1487665105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 27711
- Practice address
- 1118 Ross Clark Circle SE
Doctor's Building Suite 600
Dothan, AL 36301-3007 - Phone
- (334) 793-3900
- Fax
- (334) 793-5227
- NPI assigned
- Aug 10, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 27711 | AL | Primary |
Addresses
Primary practice location
1118 Ross Clark Circle SE
Doctor's Building Suite 600
Dothan, AL 36301-3007
Mailing address
1118 Ross Clark Circle SE
Doctor's Building Suite 600
Dothan, AL 36301-3007
Phone (334) 793-3900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009940108 | Medicaid | AL | |
| 009939831 | Medicaid | AL | |
| 51537214 | Other | AL | BCBS ALABAMA |
| 51537843 | Other | AL | BCBS ALABAMA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27711 | AL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Past | Accepting new patients | |
| Northwest Benton County Physician Services LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1487665105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 ROSS CLARK CIRCLE SE",
"address_2": "DOCTOR'S BUILDING SUITE 600",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013007",
"telephone_number": "334-793-3900",
"fax_number": "334-793-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 ROSS CLARK CIRCLE SE",
"address_2": "DOCTOR'S BUILDING SUITE 600",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013007",
"telephone_number": "334-793-3900",
"fax_number": "334-793-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "TODD",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "27711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009940108",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009939831",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ALABAMA",
"identifier": "51537214",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ALABAMA",
"identifier": "51537843",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.