Individual provider Active NPI

Richard Anthony Palmer, M.D.

  • Anesthesiology Physician
  • Decatur, AL
National Provider Identifier
1962639997
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD33395 Issued in AL
Practice address
1122 14TH Ave SE
Decatur, AL 35601-3361
Phone
(256) 764-9697
Fax
(256) 552-3990
NPI assigned
Jun 17, 2009
Last updated
Jun 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Student in an Organized Health Care Education/Training Program 390200000X 0116022976 VA
Anesthesiology Physician 207L00000X MD33395 AL Primary

Addresses

Primary practice location

1122 14TH Ave SE
Decatur, AL 35601-3361

Mailing address

1122 14TH Ave SE
Decatur, AL 35601-3361
Phone (256) 764-9697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140820001975 AL Practitioner - Anesthesiology 6305086638 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Alabama School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Services of Decatur, P.C.Group PAC ID 4183618226, 14 clinicians

Practice addresses (Care Compare)

1201 7TH St SE
Decatur, AL 35601-3337
Phone (256) 764-9697

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD33395ALMDAnesthesiology Physician
0116022976VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Anesthesia Associates, PC Anesthesiology CurrentSince Sep 16, 2024 Accepting new patients
Physynergy, LLC Anesthesiology CurrentSince Jul 3, 2024 Accepting new patients
Physynergy, LLC Anesthesiology Current Accepting new patients
Cullman Regional Pain Services LLC Anesthesiology CurrentSince Jun 24, 2024 Accepting new patients
Anesthesia Services of Decatur PC Anesthesiology CurrentSince Jul 1, 2014 Accepting new patients
Physynergy, LLC Anesthesiology CurrentSince Jul 3, 2024 Accepting new patients

Locations

1403 Wall St
Cullman, AL 35055
Phone (256) 734-9472

1912 AL Highway 157
Ste 100
Cullman, AL 35058
Phone (256) 737-2235

1122 14th Ave SE
Decatur, AL 35601
Phone (256) 560-2890

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

1725 Park Pl
Montgomery, AL 36106
Phone (334) 293-8484

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1962639997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 14TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013361",
            "telephone_number": "256-764-9697",
            "fax_number": "256-552-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 14TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013361",
            "telephone_number": "256-764-9697",
            "fax_number": "256-552-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116022976",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "MD33395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.