Richard Paul Anderson, M.D.
Individual provider Active NPI Specialist · Springfield, MA
NPI 1790776516 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1790776516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 79633 (MA)
- Practice address
- 299 Carew St Ste 323
Springfield, MA 01104 - Phone
- (413) 732-9600
- Fax
- (413) 732-9621
- NPI assigned
- Nov 1, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 79633 | MA | Yes |
Addresses
Primary practice location
299 Carew St Ste 323
Springfield, MA 01104
Mailing address
299 Carew St Ste 323
Springfield, MA 01104-2431
Phone (413) 732-9600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9787461 | Medicaid | MA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | randerson@rpamd.com.direct.emds.com | Direct |
Other providers in Springfield, MA
- Kristin Anderson
- Laura Suzanne Anderson
- Lisa N Anderson
- Lynn Jean Anderson
- Nancy Anderson
- Roger Anderson
- Scott Henley Anderson
- Shania Akina Anderson
- Thomas Joseph Anderson
- Tanisha Ancerma Andino
All providers in Springfield, MA · Specialist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.