Richard C Childers MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0017669 Issued in FL

Legal business name

RICHARD C CHILDERS MD PA

Practice address

928 NW 57TH St
Gainesville, FL 32605-4482

Phone

(352) 331-0418

Fax

(352) 331-0133

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Richard Charles Childers, MD

Title

President

Phone

(352) 331-0418

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1700196599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 NW 57TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054482",
            "telephone_number": "352-331-0418",
            "fax_number": "352-331-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 NW 57TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054482",
            "telephone_number": "352-331-0418",
            "fax_number": "352-331-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C CHILDERS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-331-0418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "0017669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dkeena Ashanti Rich
• Joel Eric Rich, M.D.
• Latoya Rich
• Shayna Rich, MD, PHD
• Richard a Griffin, OD & Associates, LLC
• Richard Gorenberg, MD, PA
• Richard Johansen Physical Therapy Inc
• Aijay Richards, APRN
• Collin Thomas Richards, M.ED, ED.S
• Hanno B Richards, MD

• Dermatology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.