Richard J. Nijem, M.D., P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

015405 Issued in GA

Legal business name

RICHARD J. NIJEM, M.D., P.C.

Practice address

1700 N Patterson St
Valdosta, GA 31602-2941

Phone

(229) 244-9800

Fax

(229) 244-5998

NPI assigned

Aug 19, 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 J Nijem, M.D.

Title

President

Phone

(229) 244-9800

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1740596436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316031086",
            "telephone_number": "229-244-9800",
            "fax_number": "229-244-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022941",
            "telephone_number": "229-244-9800",
            "fax_number": "229-244-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. NIJEM, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "NIJEM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-244-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "015405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00133262A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406063797",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chasity Reynolds
• Jan Rhodes, PT
• Joshua T Rhue, DPT
• Ashley Rhys, MS, LMFT
• Richard J. Nijem & William C Nijem PTR
• Richard Wa Rickman LLC
• Ghari N Richardson, MD
• Lindsey Marie Richardson, DMD
• Joseph Lee Ricketson, DPT
• Richard W Rickman, M.D.

• Cardiovascular Disease Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.