GREGORY RICHERT (NPI# 1588623995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588623995 |
Entity Type | Individual |
Full Name | GREGORY RICHERT |
Credential | D.O. |
Practice Address |
755 Scott Cir 15th Medical Group Hickam Afb HI 96853-5399 |
Practice Telephone | 8084490453 |
Mailing Telephone | 8084490453 |
Enumeration Date | 2006-03-23 |
Last Update Date | 2007-09-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 055329 | GA | Allopathic & Osteopathic Physicians |
Street Address |
755 SCOTT CIR 15TH MEDICAL GROUP |
City | HICKAM AFB |
State | HI |
Zip Code | 96853-5399 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548241276 | John Cinco | Family Medicine | 755 Scott Cir, Sgh, Hickam Afb, HI 96853-5399 | 2005-11-09 |
1225415235 | Sonia Evoy | Registered Nurse | 755 Scott Cir, 15th Medical Group, Hickam Afb, HI 96853-5399 | 2015-04-28 |
1922492537 | Tina Hairston | Dental Hygienist | 755 Scott Cir, Hickam Afb, HI 96853-5399 | 2015-03-20 |
1629482062 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 755 Scott Cir, Hickam Afb, HI 96853-5399 | 2014-06-13 |
1740626126 | Tyler Garrett | Dentist | 755 Scott Cir, Hickam Afb, HI 96853-5399 | 2013-05-13 |
1639300312 | Cameron Modisette | Military Health Care Provider | 755 Scott Cir, Hickam Afb, HI 96853-5399 | 2009-07-29 |
1669623690 | Kenneth Raymond Bellisle | Pharmacist | 755 Scott Cir, 15th Medical Group, Hickam Afb, HI 96853-5399 | 2008-10-08 |
1952582009 | Hickam Afb 15th Mdg | Clinic/Center | 755 Scott Cir, 15th Med Group, Hickam Afb, HI 96853-5399 | 2007-11-16 |
1063692234 | Anthony Mark Hall | Counselor | 755 Scott Cir, Bldg 559, Hickam Afb, HI 96853-5399 | 2007-11-05 |
1073656856 | Woody Charles Baker | Dentist | 755 Scott Cir, 15 Mdg Sgd, Hickam Afb, HI 96853-5399 | 2007-02-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467884759 | Edward Joseph Tucholski Jr. | Dentist | 15 Mdg, 755 Scott Circle, Jbphh, HI 96853 | 2013-08-08 |
1922232230 | Angela Marie Alveo-forbes | Military Health Care Provider | 375 Mamiya St, Bldg 2140, Hickam Ab, HI 96853 | 2009-05-14 |
1205180783 | John-michael Fowler | Registered Nurse | 755 Scott Circle, Jbphh, HI 96853 | 2012-11-05 |
1811250442 | April A Bronowski | Physical Therapist | 755 Scott Circle, 15 Mdg, Joint Base Pearl Harbor Hickam, HI 96853 | 2012-06-19 |
1609812163 | Joyce Ann Raszewski | Nurse Practitioner | 755 Scott Circle, Jbphh/hickam, HI 96853 | 2006-06-22 |
1720068976 | Richard Dale Quintana | Family Medicine | 15th Medical Group, Hickam Afb, Honolulu, HI 96853 | 2006-01-21 |
1124262746 | John Craig Bright | Military Health Care Provider | 15mdos/sgomf 755 Scott Circle, Hickam Afb, HI 96853-3672 | 2009-04-27 |
1134759715 | David Maldonado Santiago | Military Health Care Provider | 590 Moffet St, Jbphh, HI 96853-5168 | 2020-01-22 |
1366427395 | Lisa Katherine Rivera | Pathology | 590 Moffet St, Bldg 4077, Joint Base Pearl Harbor-hickam, Honolulu, HI 96853-5168 | 2005-12-13 |
1619154572 | Hickam Fire Emergency Services | Case Management | 345 Mamiya Avenue, Hickam, HI 96853-5233 | 2008-01-23 |
Find all providers in zip 96853 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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City | HICKAM AFB |
Zip Code | 96853 |
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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.