Active NPI
Richardson Surgical LLC
- Specialist
- Washington, MO
National Provider Identifier
1922298058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 105672
- Legal business name
- RICHARDSON SURGICAL LLC
- Practice address
- 851 E 5TH St
Suite 120
Washington, MO 63090-3135 - Phone
- (636) 390-8015
- Fax
- (636) 390-8920
- NPI assigned
- Jul 25, 2007
- Last updated
- Nov 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Ann Blankenship
- Title
- Office Manager
- Phone
- (636) 390-8015
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 105672 | MO | Primary |
| Specialist | 174400000X | 105800 | MO |
Addresses
Primary practice location
851 E 5TH St
Suite 120
Washington, MO 63090-3135
Mailing address
851 E 5TH St
Suite 120
Washington, MO 63090-3135
Phone (636) 390-8015
National Provider Directory
National Provider DirectoryLocations
851 E 5th St
Ste 120
Washington, MO 63090
Phone (636) 239-7727
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Surgery Physician
- Washington, MO
- NPI 1467498220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194393600000",
"number": "1922298058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 E 5TH ST",
"address_2": "SUITE 120",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903135",
"telephone_number": "636-390-8015",
"fax_number": "636-390-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 E 5TH ST",
"address_2": "SUITE 120",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903135",
"telephone_number": "636-390-8015",
"fax_number": "636-390-8920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARDSON SURGICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2007-11-07",
"status": "A",
"authorized_official_last_name": "BLANKENSHIP",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "636-390-8015"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MO",
"license": "105672",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MO",
"license": "105800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.