Individual provider Active NPI

William Ward Richardson, M.D.

  • Family Medicine Physician
  • King of Prussia, PA
National Provider Identifier
1790765899
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD018503E Issued in PA
Practice address
625 Clark Ave
Suite 13
King of Prussia, PA 19406-1438
Phone
(610) 265-8566
Fax
(610) 878-2620
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD018503E PA Primary

Addresses

Primary practice location

625 Clark Ave
Suite 13
King of Prussia, PA 19406-1438

Mailing address

625 Clark Ave
Suite 13
King of Prussia, PA 19406-1438
Phone (610) 265-8566

Other identifiers 1

IdentifierTypeStateIssuer
01623479MedicaidPA

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD018503EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates of King of Prussia, P.C. Family Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1790765899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CLARK AVE",
            "address_2": "SUITE 13",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061438",
            "telephone_number": "610-265-8566",
            "fax_number": "610-878-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CLARK AVE",
            "address_2": "SUITE 13",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061438",
            "telephone_number": "610-265-8566",
            "fax_number": "610-878-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "WILLIAM",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD018503E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01623479",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.