NPIMap

Organization Active NPI

Jeannine George-Richardson, DPM

  • Durable Medical Equipment & Medical Supplies
  • Catonsville, MD
National Provider Identifier
1922425669
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PO1000047 Issued in DC
Legal business name
JEANNINE GEORGE-RICHARDSON, DPM
Practice address
2 E Rolling Crossroads
Suite 152
Catonsville, MD 21228-6211
Phone
(410) 869-4147
Fax
(410) 869-4149
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Jeannine E. George-Richardson, DPM
Title
Podiatrist
Phone
(410) 869-4147

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 01417 MD
Durable Medical Equipment & Medical Supplies 332B00000X PO1000047 DC Primary

Addresses

Primary practice location

2 E Rolling Crossroads
Suite 152
Catonsville, MD 21228-6211

Mailing address

2201 Savannah St SE
Washington, DC 20020-7536
Phone (410) 489-4747

Other identifiers 3

IdentifierTypeStateIssuer
6709300002OtherDCDME
6709300001OtherMDDME
445613100MedicaidMD

National Provider Directory

National Provider Directory

Locations

3450 Ellicott Center Dr
Ste 105
Ellicott City, MD 21043
Phone (410) 203-2807

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1922425669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SAVANNAH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207536",
            "telephone_number": "410-489-4747",
            "fax_number": "410-869-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E ROLLING CROSSROADS",
            "address_2": "SUITE 152",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286211",
            "telephone_number": "410-869-4147",
            "fax_number": "410-869-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNINE GEORGE-RICHARDSON, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "GEORGE-RICHARDSON",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "410-869-4147",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "01417",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DC",
            "license": "PO1000047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "6709300002",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "6709300001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "445613100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.