Organization Active NPI

Richard J Price MD PA

  • Cardiovascular Disease Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1609184837
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0040185 Issued in FL
Legal business name
RICHARD J PRICE MD PA
Practice address
3365 Burns Rd
Suite 207
Palm Beach Gardens, FL 33410-4326
Phone
(561) 626-5606
Fax
(561) 626-6376
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Donna Wells
Title
Office Manager
Phone
(561) 626-5606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME0040185 FL Primary

Addresses

Primary practice location

3365 Burns Rd
Suite 207
Palm Beach Gardens, FL 33410-4326

Mailing address

3365 Burns Rd
Suite 207
Palm Beach Gardens, FL 33410-4326
Phone (561) 626-5606

Other identifiers 1

IdentifierTypeStateIssuer
370204900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101015000988 FL Part B Supplier - Clinic/Group Practice 7911190400 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Beach Gardens, FL

National Provider Directory

National Provider Directory

Locations

3365 Burns Rd
Ste 207
Palm Beach Gardens, FL 33410
Phone (561) 626-5606

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": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1609184837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD",
            "address_2": "SUITE 207",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104326",
            "telephone_number": "561-626-5606",
            "fax_number": "561-626-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD",
            "address_2": "SUITE 207",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104326",
            "telephone_number": "561-626-5606",
            "fax_number": "561-626-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J PRICE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-626-5606"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0040185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370204900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.