Jason P Richards MD PLLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

M12138 Issued in ID

Legal business name

JASON P RICHARDS MD PLLC

Practice address

444 Hospital Way Ste 477
Pocatello, ID 83201-2744

Phone

(208) 233-8344

Fax

(208) 233-6983

NPI assigned

Aug 16, 2013

Organization subpart

No

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

Authorized official

Name

Jason P Richards, MD

Title

Owner

Phone

(208) 233-8344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1932532686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY STE 477",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012744",
            "telephone_number": "208-233-8344",
            "fax_number": "208-233-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY STE 477",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012744",
            "telephone_number": "208-233-8344",
            "fax_number": "208-233-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON P RICHARDS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-233-8344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "ID",
            "license": "M12138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyshae Jaggi, DO
• Stacy James, N.P.
• Paul Cody Jameson, PMHNP-BC
• Katharine Jamison, LCPC
• Cindy L. Janes
• Amanda Miren Jayo
• Janice Jean, MOTR/L,CHT
• McKenzie Jemmett, SLP
• Jacquie Kathleen Jenkins, COTA/L
• Jeremy John Jenkins, DPT

• Sports Medicine (Orthopaedic Surgery) Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.