Kenneth Richards, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

109328 Issued in MO

Practice address

210 N Market St
Milan, MO 63556-1316

Phone

(660) 265-4456

Fax

(660) 265-4627

NPI assigned

Oct 11, 2006

Last updated

Dec 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Central Missouri Mental Health CenterGroup PAC ID 5092766204, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Central Missouri Mental Health Center

  • Community/Behavioral Health Agency
  • Trenton, MO
  • NPI 1730258930
  Medicare reassignment Care Compare group NPD
• North Central Missouri Mental Health Center

  • Community/Behavioral Health Agency
  • Trenton, MO
  • NPI 1154863306
  NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1740378785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N MARKET ST",
            "city": "MILAN",
            "state": "MO",
            "postal_code": "635561316",
            "telephone_number": "660-265-4456",
            "fax_number": "660-265-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MARKET ST",
            "city": "MILAN",
            "state": "MO",
            "postal_code": "635561316",
            "telephone_number": "660-265-4456",
            "fax_number": "660-265-4627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 E 28th St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MO",
            "postal_code": "646831178",
            "country_code": "US",
            "telephone_number": "660-359-4487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KENNETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "109328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• N & R of Milan (Milan Healthcare)
• Nancy Kay Scott Et Al PTR (Owls Pharmacy)
• Northeast Missouri Health Council Inc (Northeast Missouri Family Health Clinic)
• Preferred Family Health Care, Inc.
• Qmi LLC (Milan U Save)
• Bobbi Ann Richardson
• Rolling Hills Residential Care Facility, LLC
• Alexis Roman
• School Dist 2 Milan
• Gary Ryan Snelling, PTA

• Family Medicine Physician in Milan, MO
• Providers in Milan, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.