Richard N Shatz MD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RICHARD N SHATZ MD

Practice address

1135 Broadway St
Quincy, IL 62301-2809

Phone

(217) 228-1312

Fax

(217) 228-1316

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard Nelson Shatz, M.D.NPI 1952380818

Title

Owner

Phone

(217) 228-1312

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Richard Nelson Shatz, M.D.

  • Plastic Surgery Physician
  • Quincy, IL
  • NPI 1952380818
  NPD (past) Authorized official

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1871766717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012809",
            "telephone_number": "217-228-1312",
            "fax_number": "217-228-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012809",
            "telephone_number": "217-228-1312",
            "fax_number": "217-228-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD N SHATZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "SHATZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-228-1312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200001410",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36107867",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macie Reuschel
• Adam M Reyburn, M.D.
• Stephanie A Reyburn, MD
• Arden F Reynolds, MD
• Scott Rich
• Richard R Gregory DDS LTD
• Alan Richardson, M.D.
• Amber Lynn Richey, HIS
• John Henry Rickelman Jr., DO
• Michelle Rickelman, D.C.

• Clinic/Center in Quincy, IL
• Providers in Quincy, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.