DR. TIMOTHY JOHN RICHARDSON (NPI# 1053354753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053354753 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JOHN RICHARDSON |
| Credential | M.D. |
| Practice Address |
1 Va Ctr Mdp 11 Augusta ME 04330-6719 |
| Mailing Address |
1 Va Center Mdp 11 Augusta ME 04330-6719 |
| Practice Telephone | 2076235757 |
| Practice Fax Number | 2076235792 |
| Mailing Telephone | 2076235757 |
| Mailing Fax Number | 2076235792 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
00004918 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528427580 | Timothy Richardson | Physical Therapy Assistant | 8331 Maple Hill Ln, Tuscaloosa, AL 35405-8694 | 2016-02-18 |
| 1184855967 | Timothy Richardson | Dentist | 4122 Quest Dr, Eugene, OR 97402-8768 | 2009-07-28 |
| 1326276858 | Timothy Gerard Richardson | Chiropractor | 11348 Tara Blvd Ste 100, Hampton, GA 30228-6277 | 2009-06-23 |
| 1407378136 | Timothy Richardson | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2017-07-14 |
| 1962885632 | Timothy Richardson | Emergency Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2015-06-30 |
| 1124448667 | Timothy Richardson | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2014-04-23 |
| 1174743876 | Timothy Michael Richardson | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2007-04-26 |
| 1164446548 | Timothy Richardson | Dermatology | 36867 Cook St, Suite 101, Palm Desert, CA 92211-6064 | 2006-07-27 |
| Street Address |
1 VA CTR MDP 11 |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-6719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437135704 | Nancy Louise Johnson | Counselor | 1 Va Ctr, Building 206, Augusta, ME 04330-6719 | 2005-12-19 |
| 1730789710 | Monica Rachel Lee | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-10-28 |
| 1336746841 | Danae E. Stuart | Nurse Practitioner | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-10-07 |
| 1699380774 | Erica Wolfe | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-09-15 |
| 1790303436 | Danny Sarkis | Student in an Organized Health Care Education/Training Program | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-07-09 |
| 1518585256 | Elizabeth Sullivan | Student in an Organized Health Care Education/Training Program | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-07-09 |
| 1710504907 | Katie S Eastman | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-07-03 |
| 1548885429 | Rebecca Labonte | Dietitian, Registered | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-06-16 |
| 1942824362 | Whitney C Sargent | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-06-01 |
| 1336785708 | Matthew Douglas Campbell | Physician Assistant | 1 Va Ctr, Augusta, ME 04330-6719 | 2019-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578518106 | Izabela Sabina Lutostanska | Internal Medicine | Togus Road, Togus Va Hospital, Augusta, ME 04330 | 2006-05-23 |
| 1295845659 | Dean U. Harrell | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| 1336163609 | Thomas James Hartney | Internal Medicine | 1 Freedom Way, Vamc 509/26, Augusta, GA 30904-6258 | 2006-07-27 |
| 1427075464 | Roger Renfrew | Internal Medicine | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851327936 | Mark Braun | Internal Medicine | 306 Us Route 1 Ste C1, Scarborough, ME 04074-7640 | 2006-06-23 |
| 1720022536 | George N Morrissette | Internal Medicine | 140 Russell St, Lewiston, ME 04240-6026 | 2006-06-15 |
| 1780994194 | Rohit Gautam | Internal Medicine | 4 Main St, Van Buren, ME 04785-1009 | 2010-10-19 |
| 1972815165 | Randa Jaber | Internal Medicine | 46 Fairview Ave, Suite 111, Skowhegan, ME 04976-1481 | 2010-07-05 |
| 1053593962 | Karen E. Saylor | Internal Medicine | 50 Marquis Rd, Freeport, ME 04032-6477 | 2007-12-03 |
| 1073736229 | Roland H. Knausenberger, M.d. Pa | Internal Medicine | 180 Kennedy Memorial Dr, Suite 202, Waterville, ME 04901-4540 | 2007-04-10 |
| 1649363805 | Jabbar Fazeli | Internal Medicine | 1321 Washington Ave, Suite 310, Portland, ME 04103-3636 | 2006-10-02 |
| 1699868158 | Heidi R Wierman | Internal Medicine | 22 Bramhall St., Portland, ME 04102 | 2006-10-02 |
| 1952406308 | Roland H Knausenberger | Internal Medicine | 180 Kennedy Memorial Drive, Ste 202, Waterville, ME 04901 | 2006-09-13 |
| 1326156605 | Jabbar Fazeli Md Maine Geriatrics | Internal Medicine | 1321 Washington Ave, Suite 310, Portland, ME 04103-3636 | 2006-08-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.