Individual provider Active NPI

Richard Kenneth Donelson, MD

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1689719080
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E7055 Issued in TX
Practice address
8523 Arkansas
Houston, TX 77093
Phone
(713) 696-5900
NPI assigned
Feb 21, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X E7055 TX Primary

Addresses

Primary practice location

8523 Arkansas
Houston, TX 77093

Mailing address

PO Box 88361
City of Houston Health & Human Services
Houston, TX 77288-8861
Phone (713) 794-9104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E7055TXMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689719080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88361",
            "address_2": "CITY OF HOUSTON HEALTH & HUMAN SERVICES",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772888861",
            "telephone_number": "713-794-9104",
            "fax_number": "713-798-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8523 ARKANSAS",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77093",
            "telephone_number": "713-696-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONELSON",
        "first_name": "RICHARD",
        "middle_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "E7055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.