NPIMap

Individual provider Active NPI

Nathan Davis Richardson, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1790847978
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
42715 Issued in AZ
Practice address
3420 S Mercy Rd
Suite 200
Gilbert, AZ 85297-0419
Phone
(623) 537-5600
Fax
(866) 939-2673
NPI assigned
Dec 14, 2006
Last updated
May 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 42715 AZ
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 42715 AZ Primary

Addresses

Primary practice location

3420 S Mercy Rd
Suite 200
Gilbert, AZ 85297-0419

Mailing address

3010 W Agua Fria Fwy
Suite 100
Phoenix, AZ 85027-3943
Phone (623) 537-5600

Other identifiers 7

IdentifierTypeStateIssuer
5550830003OtherAZMEDICARE NSC PEORIA
5550830001OtherAZMEDICARE NSC SCW
5550830007OtherAZMEDICARE NSC DV
521790MedicaidAZ
5550830010OtherAZMEDICARE NSC GILBERT
5550830011OtherAZMEDICARE NSC CENTRAL PHOENIX
5550830012OtherAZMEDICARE NSC SPINE CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130617000003 ID Practitioner - Orthopedic Surgery 1052313947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Vermont College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMH IncGroup PAC ID 8426149758, shared by 7 NPIs, 137 clinicians

Practice addresses (Care Compare)

1151 Hospital Way
BLDG D
Pocatello, ID 83201-5091
Phone (208) 239-8008

315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42715AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMH, Inc. Current Accepting new patients
BMH, Inc. CurrentSince May 1, 2013 Accepting new patients
BMH, Inc. CurrentSince May 1, 2013 Accepting new patients
BMH Inc CurrentSince May 1, 2013 Accepting new patients
Center for Orthopedic Research and Education LLC Past Accepting new patients
Center for Orthopedic Research and Education, LLC Orthopaedic Surgery Past Accepting new patients
Center for Orthopedic Research and Education Inc Past Accepting new patients
BMH Inc. Past Accepting new patients

Locations

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

98 Poplar St
Fl 3
Blackfoot, ID 83221

3302 Valencia Dr
Ste 201
Idaho Falls, ID 83404
Phone (208) 524-9400

1151 Hospital Way
Pocatello, ID 83201
Phone (208) 233-3353

1151 Hospital Way
#D100
Pocatello, ID 83201
Phone (208) 239-8010

1151 Hospital Way
Bldg D
Pocatello, ID 83201
Phone (208) 237-2446

1151 Hospital Way
Ste D100
Pocatello, ID 83201

4750 Yellowstone Ave
Ste A
Pocatello, ID 83202
Phone (208) 233-1720

4750 Yellowstone Ave
Ste B
Pocatello, ID 83202
Phone (208) 232-8792

300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700

Interoperability endpoints

  • Direct secure messaging: nathanrichardson@bmh.medalliesdirect.net

Organizations & group practices 8

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1790847978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 W AGUA FRIA FWY",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273943",
            "telephone_number": "623-537-5600",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD",
            "address_2": "SUITE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970419",
            "telephone_number": "623-537-5600",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "NATHAN",
        "middle_name": "DAVIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "42715",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AZ",
            "license": "42715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC PEORIA",
            "identifier": "5550830003",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC SCW",
            "identifier": "5550830001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC DV",
            "identifier": "5550830007",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521790",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC GILBERT",
            "identifier": "5550830010",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC CENTRAL PHOENIX",
            "identifier": "5550830011",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC SPINE CENTER",
            "identifier": "5550830012",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.