Organization Active NPI

Henry J Richter MD PA

  • Family Medicine Physician
  • Mount Dora, FL
National Provider Identifier
1528174869
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME37512 Issued in FL
Legal business name
HENRY J RICHTER MD PA
Practice address
1502 N Donnelly St
Suite 110
Mt Dora, FL 32757-2846
Phone
(352) 735-0068
Fax
(352) 735-0305
NPI assigned
Aug 21, 2006
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Dr. Henry James Richter, MDNPI 1467434662
Title
President
Phone
(352) 735-0068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME37512 FL Primary

Addresses

Primary practice location

1502 N Donnelly St
Suite 110
Mt Dora, FL 32757-2846

Mailing address

PO Box 1448
Eustis, FL 32727-1448
Phone (352) 735-0068

Other identifiers 2

IdentifierTypeStateIssuer
59906OtherFLBCBS
066885100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1528174869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1448",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327271448",
            "telephone_number": "352-735-0068",
            "fax_number": "352-735-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N DONNELLY ST",
            "address_2": "SUITE 110",
            "city": "MT DORA",
            "state": "FL",
            "postal_code": "327572846",
            "telephone_number": "352-735-0068",
            "fax_number": "352-735-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY J RICHTER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-735-0068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME37512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59906",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066885100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.