Active NPI
James L. Richards, M.D.
- Surgery Physician
- Idaho Falls, ID
National Provider Identifier
1902809221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- M3958
- Practice address
- 2001 S Woodruff Ave
Ste 3
Idaho Falls, ID 83404-6371 - Phone
- (208) 529-5909
- Fax
- (208) 529-5990
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M3958 | ID | Primary |
Addresses
Primary practice location
2001 S Woodruff Ave
Ste 3
Idaho Falls, ID 83404-6371
Mailing address
2001 S Woodruff Ave
Ste 3
Idaho Falls, ID 83404-6371
Phone (208) 529-5909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003645900 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M3958 | ID | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1902809221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S WOODRUFF AVE",
"address_2": "STE 3",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046371",
"telephone_number": "208-529-5909",
"fax_number": "208-529-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S WOODRUFF AVE",
"address_2": "STE 3",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046371",
"telephone_number": "208-529-5909",
"fax_number": "208-529-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "JAMES",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "M3958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003645900",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.