PAUL E.L. RICHARDSON (NPI# 1124018999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124018999 |
| Entity Type | Individual |
| Full Name | PAUL E.L. RICHARDSON |
| Credential | M.D. |
| Practice Address |
3410 Kimball Ave Waterloo IA 50702-5735 |
| Practice Telephone | 3192342649 |
| Practice Fax Number | 3192332430 |
| Mailing Telephone | 3192342649 |
| Mailing Fax Number | 3192332430 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2013-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 35033 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | COVENTRY HMO | 168627 | 01 |
| IA | 0289181 | 05 | |
| IA | BCBS OF IOWA | 34082 | 01 |
| IA | JOHN DEERE | 421014941-22 | 01 |
| IA | RAILROAD MEDICARE | P00050800 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326413345 | Paul Andrew Richardson | Registered Nurse | 997 E 3900 S Ste 203, Salt Lake City, UT 84124-1108 | 2015-12-02 |
| 1578799433 | Paul B Richardson | Physical Therapy Assistant | 818 Midway Dr, Auburn, IN 46706-1128 | 2009-06-05 |
| 1972596005 | Paul Mckinley Richardson Jr. | Internal Medicine | 2367b Cypress Cir, Conway, SC 29526-8921 | 2005-08-24 |
| 1265086797 | Paul Richardson | Social Worker | 8737 Colesville Rd Ste 700, Silver Spring, MD 20910-7901 | 2019-08-01 |
| 1891251583 | Paul Lee Richardson | Driver | 501 Park Ave, Richmond, VA 23223-4816 | 2019-02-18 |
| 1134403918 | Paul J Richardson | Social Worker | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2011-09-28 |
| 1215104146 | Paul Richardson | Case Manager/Care Coordinator | 750 N 200 W, Provo, UT 84601-1677 | 2008-05-09 |
| 1063532299 | Paul Lee Richardson | Dentist | 11092 Anderson St., Loma Linda, CA 92354 | 2007-03-30 |
| 1770544256 | Paul G Richardson | Internal Medicine | 44 Binney Street, Dana Farber Cancer Institute, Boston, MA 02115 | 2006-04-01 |
| 1750369088 | Paul Timothy Richardson | Psychiatry & Neurology | 2550 University Ave W, Ste 229n, Saint Paul, MN 55114-1052 | 2006-01-06 |
| Street Address |
3410 KIMBALL AVE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174067698 | Urosmith Pllc | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2016-12-19 |
| 1730553918 | Bennhook Pllc | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2015-11-25 |
| 1306216767 | Global Urology PC | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2015-09-29 |
| 1467497909 | Anand H Inamdar | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2006-06-18 |
| 1194792572 | Loren James Smith | Urology | 3410 Kimball Ave, Waterloo, IA 50702 | 2006-03-03 |
| 1538159314 | Stephen A Mong | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2005-10-24 |
| 1558351346 | Northern Iowa Urological Associates, PC | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083898779 | Alexandria Urology P.C. | Urology | 112 Park Lane, Room 5, Waterloo, IA 50701 | 2007-12-18 |
| 1174067698 | Urosmith Pllc | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2016-12-19 |
| 1730553918 | Bennhook Pllc | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2015-11-25 |
| 1306216767 | Global Urology PC | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2015-09-29 |
| 1710279351 | Eric Andresen | Urology | 1717 W Ridgeway Ave, Waterloo, IA 50701 | 2011-05-13 |
| 1326272923 | Eric John Askeland | Urology | 1717 W Ridgeway Ave, Waterloo, IA 50701-4543 | 2009-05-11 |
| 1790929354 | Mark Richard Newton | Urology | 2413 W Ridgeway Ave, Waterloo, IA 50701-4306 | 2009-04-27 |
| 1326257346 | Daniel Kwai Lee | Urology | 1717 W Ridgeway Ave, Waterloo, IA 50701 | 2007-05-22 |
| 1467497909 | Anand H Inamdar | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2006-06-18 |
| 1194792572 | Loren James Smith | Urology | 3410 Kimball Ave, Waterloo, IA 50702 | 2006-03-03 |
| Find all providers in WATERLOO | ||||
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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.