Active NPI
Stephen Richman, M.D.
- Ophthalmology Physician
- Warwick, RI
National Provider Identifier
1780741280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD4109
- Practice address
- 566 Toll Gate Rd
Warwick, RI 02886-2716 - Phone
- (401) 738-4800
- Fax
- (401) 738-0231
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD4109 | RI | Primary |
Addresses
Primary practice location
566 Toll Gate Rd
Warwick, RI 02886-2716
Mailing address
9 Strawberry Dr
Barrington, RI 02806-4915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SR53514 | Medicaid | RI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD4109 | RI | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780741280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 STRAWBERRY DR",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "028064915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862716",
"telephone_number": "401-738-4800",
"fax_number": "401-738-0231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMAN",
"first_name": "STEPHEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "RI",
"license": "MD4109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SR53514",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.