Richmond Foot & Ankle Clinic, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36003457 Issued in OH

Legal business name

RICHMOND FOOT & ANKLE CLINIC, LLC

Practice address

1323 W 3Rd St
Dayton, OH 45402-6714

Phone

(937) 228-3668

Fax

(937) 228-3660

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tanisha R. Richmond

Title

Owner

Phone

(937) 228-3668

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanisha Renee Richmond, DPM, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dayton, OH
  • NPI 1689755084
  Medicare reassignment Care Compare group NPD
• Julia Ruffin, DPM

  • Podiatrist
  • Dayton, OH
  • NPI 1366527384
  Medicare reassignment Care Compare group NPD
• Alexander Brewer, D.P.M.

  • Podiatrist
  • Cincinnati, OH
  • NPI 1588903058
  Medicare reassignment NPD
• Darrell Fitzgerald Ballinger, DPM

  • Foot Surgery Podiatrist
  • Centerville, OH
  • NPI 1285952937
  NPD (past)
• Trevecca Kerry Shaw, DPM

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
  • NPI 1497917165
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1861669970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026714",
            "telephone_number": "937-228-3668",
            "fax_number": "937-228-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026714",
            "telephone_number": "937-228-3668",
            "fax_number": "937-228-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND FOOT & ANKLE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-228-3668",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMOH",
            "identifier": "452898963002",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2841492",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000571694",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2796292",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Grant Richardson, M.S. CCC-SLP
• Willie Richardson
• Zontaye Richardson
• Richardt Senior Care
• Daryl Richey II, COTA/L
• Richmond Foot and Ankle Clinic
• Tanisha Renee Richmond, DPM, DPM
• Jessica Richter
• Rachael A Richter, MSW, LISW-S
• Michelle Erin Ricica

• Foot & Ankle Surgery Podiatrist in Dayton, OH
• Providers in Dayton, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.