Roxanne Richards, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

41770-20 Issued in WI

Practice address

449 Gale Dr
Wisconsin Dells, WI 53965-8644

Phone

(608) 586-4544

NPI assigned

Feb 9, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Roxanne Brant Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Shiprock, NM
  • NPI 1780639971

  TX

  Medicare reassignment NPD
• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Teecnospos, AZ
  • NPI 1477615789
  NPD

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1760788640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 GALE DR",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539658644",
            "telephone_number": "608-586-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 GALE DR",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539658644",
            "telephone_number": "608-586-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ROXANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "41770-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "BRANT",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NSH Wisconsin Dells LLC
• Laurie Renee Penzkover, M.S. CCC-SLP
• Casey Meyer Piotrowski, OTR/L
• Bryan Prahl, PHARM.D.
• Rich Rides LLC
• Bridget Therese Riley, BS, MSCMHC, LPC
• Tammy M Rockweiler, APNP
• Gregory Richard Rowe
• Mary Ellen Sabourin, MD
• School District of Wisconsin Dells

• Emergency Medicine Physician in Wisconsin Dells, WI
• Providers in Wisconsin Dells, WI by specialty
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.