Jeffrey B. Richardson, M.D., P.S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25905 Issued in KY

Legal business name

JEFFREY B. RICHARDSON, M.D., P.S.C.

Practice address

2333 Ring Rd
Elizabethtown, KY 42701-9162

Phone

(270) 737-4503

Fax

(270) 769-1978

NPI assigned

May 15, 2006

Last updated

Feb 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey B. Richardson, MDNPI 1548261977

Title

Owner

Phone

(270) 737-4503

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey B Richardson, MD

  • Dermatology Physician
  • Elizabethtown, KY
  • NPI 1548261977
  Authorized official Same address or phone

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1811948524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019162",
            "telephone_number": "270-737-4503",
            "fax_number": "270-769-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019162",
            "telephone_number": "270-737-4503",
            "fax_number": "270-769-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY B. RICHARDSON, M.D., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-737-4503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "KY",
            "license": "25905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CF9123",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara Elisse Ruthann Janes
• Heather H Janes, PA
• Sarah Gunning Janes, PSY.D.
• Javier Arce MD PSC
• Jefferson Newbern, DMD, PLLC (Aspen Dental)
• Christopher G Jenkins, APRN
• Shelby Ann Jenkins
• Amy Dennis Jennings
• Jerrina Gusler Aprn PLLC (Renewed Mood)
• Lindsay Jewell, PTA

• Dermatology Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.