Organization Active NPI

Johanna M Richey, DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • Yuma, AZ
National Provider Identifier
1609354034
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
883 Issued in AZ
Legal business name
JOHANNA M RICHEY, DPM, PC
Practice address
2741 S 8TH Ave Ste a
Yuma, AZ 85364-7154
Phone
(928) 726-6295
NPI assigned
Jul 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Johanna Marie Richey, DPM
Title
Owner
Phone
(602) 432-1274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 883 AZ Primary

Addresses

Primary practice location

2741 S 8TH Ave Ste a
Yuma, AZ 85364-7154

Mailing address

2091 W 25TH St
Yuma, AZ 85364-6911
Phone (928) 276-6271

Other identifiers 1

IdentifierTypeStateIssuer
425358MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2741 S 8th Ave
Yuma, AZ 85364

2091 W 25th St
Yuma, AZ 85364

2741 S 8th Ave
Ste A
Yuma, AZ 85364
Phone (928) 344-5771

4386 State St
Ste 3
Saginaw, MI 48603
Phone (989) 793-4250

Practitioners & affiliated clinicians

Practitioners 3

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": "1532736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1609354034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 W 25TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646911",
            "telephone_number": "928-276-6271",
            "fax_number": "928-276-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 S 8TH AVE STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647154",
            "telephone_number": "928-726-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHANNA M RICHEY, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-28",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "RICHEY",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-432-1274",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425358",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.