Active NPI
Henry J Richter MD PA
- Family Medicine Physician
- Mount Dora, FL
National Provider Identifier
1528174869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME37512
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Henry James Richter, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59906 | Other | FL | BCBS |
| 066885100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & 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.
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- Emergency Medicine Physician
- Orlando, FL
- NPI 1467434662
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.