DR. PETER BRUCE RICHARDSON (NPI# 1194720102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194720102 |
| Entity Type | Individual |
| Full Name | DR. PETER BRUCE RICHARDSON |
| Credential | MD |
| Practice Address |
1500 Commerce Rd Staunton VA 24401 |
| Mailing Address |
17 N Medical Park Dr Fishersville VA 22939-2344 |
| Practice Telephone | 5402130060 |
| Practice Fax Number | 5402139441 |
| Mailing Telephone | 5402137725 |
| Mailing Fax Number | 5402137481 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101032138 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006301754 | 05 | |
| RAILROAD MEDICARE | 180020459 | 01 | |
| VA | BLUE CROSS BLUE SHIELD | 059755 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144251646 | Peter Richardson | Family Medicine | 719 W Centennial, Carthage, MO 64836 | 2006-07-05 |
| 1093327397 | Peter Paul Richardson | Pharmacist | 4313 Andrews Hwy, Midland, TX 79703-4823 | 2020-08-18 |
| Street Address |
1500 COMMERCE RD |
| City | STAUNTON |
| State | VA |
| Zip Code | 24401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435226 | Marc Douglas Shields | Ophthalmology | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2005-05-24 |
| 1053975763 | Susan Gresham | Optometrist | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2019-04-28 |
| 1891945697 | Lauren P Rivellino | Optometrist | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2008-09-29 |
| 1760668545 | Augusta Eye Associates Plc | Durable Medical Equipment & Medical Supplies | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2008-01-11 |
| 1558562264 | Scott David Lawrence | Ophthalmology | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2007-05-30 |
| 1184834889 | Paul S Mcconnell | Ophthalmology | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2007-05-23 |
| 1891881207 | Martha K Proffitt | Technician/Technologist | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003319 | Carlo Mirabelli | Pharmacist | Wal-mart, 1028c Richmond Ave., Staunton, VA 24401 | 2020-11-03 |
| 1437649092 | Nathaniel Byron Ellis | Speech-Language Pathologist | 600 Greenville Ave, Staunton, VA 24401 | 2018-05-18 |
| 1942728985 | Staunton Treatment Center, LLC | Counselor | 15 Green Hills Drive, Staunton, VA 24401 | 2017-08-30 |
| 1144756313 | Annie L Metz | Counselor | 85 Sangers Lane, Staunton, VA 24401 | 2017-05-10 |
| 1598217804 | Bh Brightview Baldwin Park Opco, LLC | Alzheimer Center (Dementia Center) | 21 Woodlee Road, Staunton, VA 24401 | 2016-11-03 |
| 1255887022 | Courtney White | Pharmacist | 850 Statler Blvd, Statler Square, Staunton, VA 24401 | 2016-08-31 |
| 1881042596 | John H. Lee | Occupational Therapy Assistant | 1900 Hillsmere, Staunton, VA 24401 | 2016-06-03 |
| 1538531496 | Family Preservation Services, Inc | Community/Behavioral Health | 189 Hornet Road, Staunton, VA 24401 | 2015-10-30 |
| 1053714741 | Kimberly Olsen | Speech-Language Pathologist | 1 Hillsmere Lane, Staunton, VA 24401 | 2014-10-08 |
| 1790197754 | Brittany Swann Wilmoth | Physical Therapist | 1600 N. Coalter Street, Suite 302, Staunton, VA 24401 | 2014-05-27 |
| Find all providers in zip 24401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257246 | Zamjams Enterprises LLC | Specialist | 1600 N Coalter St Ste 7, Staunton, VA 24401-2500 | 2020-05-26 |
| 1104151349 | Kelli Lynn Fink | Specialist | 15 E Beverley St, Staunton, VA 24401-4322 | 2009-10-06 |
| 1164487492 | George Austin Godette | Specialist | 108 Mactanly Pl, Staunton, VA 24401-2373 | 2006-04-19 |
| 1013998236 | William F Sowers | Specialist | 42 Lambert St, Suite 323, Staunton, VA 24401-2421 | 2005-11-07 |
| 1427671486 | Sandra Dawn Zamalis | Specialist | 1600 N Coalter St Ste 7, Staunton, VA 24401-2500 | 2020-05-26 |
| 1023484219 | Shenandoah Dermatology, P.C. | Specialist | 1600 N Coalter St, Suite 19, Staunton, VA 24401-2551 | 2015-08-11 |
| 1235325689 | Associated Mental Health Professionals Inc | Specialist | 102 Mactanly Pl, Staunton, VA 24401-2316 | 2007-09-19 |
| 1649460759 | Clara Belle Wheeler | Specialist | 108 Mactanly Pl, Staunton, VA 24401-2373 | 2007-07-26 |
| 1336150226 | William Lee Hereford | Specialist | 108 Mactanly Pl, Staunton, VA 24401-2373 | 2006-08-10 |
| 1831115427 | Blue Ridge Pediatrics Plc | Specialist | 401 Commerce Rd, Suite #421, Staunton, VA 24401-4446 | 2006-07-15 |
| Find all providers in STAUNTON | ||||
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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.