Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD418560 | PA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD418560 | PA |
NPI | 1053380667 |
---|---|
Provider Name | Richard S Richards II |
First Address | Chambersburg, PA 17201-4232 |
Second Address | Chambersburg, PA 17201-1795 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 10/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001914298 0009 | (05) | PA |
1007307260034 | MEDICAID GROUP # (01) | PA |
120420411 | DEPT OF LABOR (01) | PA |
1392240 | HIGHMARK BLUESHIELD (01) | PA |
2243909 | UNITED HEALTHCARE (MAMSI) (01) | PA |
25-1716306 | DEVON (01) | PA |
25-1716306 | HEALTHNET/TRICARE (01) | PA |
3117048 | MAMSI (01) | PA |
50083245 | CAPITAL BLUECROSS (01) | PA |
6769755 | AETNA HMO (01) | PA |
7595352 | AETNA NON-HMO (01) | PA |
867633 | MEDICARE GROUP # (01) | PA |
BR7354145 | DEA (01) | PA |
G920-0141/KDM4CU | CAREFIRST (01) | PA |
H52496 | (02) | PA |
MD418560 | LICENSE (01) | PA |
P00841782 | RAILROAD MEDICARE (01) | PA |