Organization Active NPI

Carlton a Richie III DO PLC

  • Sports Medicine (Family Medicine) Physician
  • Tempe, AZ
National Provider Identifier
1609050749
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
3440 Issued in AZ
Legal business name
CARLTON A RICHIE III DO PLC
Practice address
1840 E Baseline Rd
Suite C-2
Tempe, AZ 85283-1527
Phone
(480) 751-3771
Fax
(480) 751-3778
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. Carlton A Richie, DO
Title
Owner/Physician
Phone
(480) 751-3771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X 3440 AZ Primary

Addresses

Primary practice location

1840 E Baseline Rd
Suite C-2
Tempe, AZ 85283-1527

Mailing address

7349 N Via Paseo del Sur
Suite 515 #206
Scottsdale, AZ 85258-3765
Phone (480) 751-3771

Other identifiers 1

IdentifierTypeStateIssuer
1699770925OtherAZINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

18404 N Tatum Blvd
Ste 207
Phoenix, AZ 85032
Phone (602) 482-2122

7349 N Via Paseo del Sur
Ste 151
Scottsdale, AZ 85258

7349 N Via Paseo del Sur
Ste 515
Scottsdale, AZ 85258
Phone (480) 751-3777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1609050749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 N VIA PASEO DEL SUR",
            "address_2": "SUITE 515 #206",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583765",
            "telephone_number": "480-751-3771",
            "fax_number": "480-751-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E BASELINE RD",
            "address_2": "SUITE C-2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831527",
            "telephone_number": "480-751-3771",
            "fax_number": "480-751-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLTON A RICHIE III DO PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "RICHIE",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "480-751-3771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "3440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1699770925",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.