Julee Richards MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD17078 Issued in OR

Legal business name

JULEE RICHARDS MD PC

Practice address

341 Medical Loop
Ste 110
Roseburg, OR 97471-5546

Phone

(541) 440-2165

Fax

(541) 440-8932

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Julee Kay Richards, MD

Title

President

Phone

(541) 440-2165

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1891850814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MEDICAL LOOP",
            "address_2": "STE 110",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715546",
            "telephone_number": "541-440-2165",
            "fax_number": "541-440-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MEDICAL LOOP",
            "address_2": "STE 110",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715546",
            "telephone_number": "541-440-2165",
            "fax_number": "541-440-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULEE RICHARDS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JULEE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-440-2165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD17078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "070016168",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PIN",
            "identifier": "R112629",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "804708001",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CJ9890",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026463",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Fisher MD MPH MSC PC
• Rachel Suzanne Judd
• Judith a Martin L.C.S.W., P.C.
• Jared E Juett, LCSW
• Tim Eugene Juett, P.T.
• Susan Ann Julian, M.S., CCC, SLP
• Misty Jungling
• Juniper Tree Counseling, LLC
• Gerilynn Jutson, RN
• Hollis Holly Kadesh, LPC

• Dermatology Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.