JOHN PAUL RICHARD (NPI# 1598792681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598792681 |
| Entity Type | Individual |
| Full Name | JOHN PAUL RICHARD |
| Credential | PA |
| Practice Address |
11104 Parkview Circle Dr Ste 330 Fort Wayne IN 46845-1674 |
| Mailing Address |
120 W 22nd St Ste 200 Oak Brook IL 60523-1563 |
| Practice Telephone | 2604943484 |
| Practice Fax Number | 2609690188 |
| Mailing Telephone | 6305755000 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 10000373 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10000373 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 468044128 | 2609697140 | 2609690188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588091185 | John F Richard | Pharmacist | 1850 W Pinhook Road, Walgreens, Lafayette, LA 70508 | 2013-09-27 |
| 1952573404 | John Richard | Pharmacist | 40 Farwell Rd, Tyngsboro, MA 01879-1008 | 2008-03-25 |
| 1306979018 | John Robert Richard | Dentist | 5995 Reeves Rd, East Petersburg, PA 17520 | 2007-03-13 |
| 1043387640 | John David Richard | Psychologist | 1860 El Camino Real Ste 310, Burlingame, CA 94010-3114 | 2006-11-29 |
| 1700865441 | John Joseph Richard | Dentist | 690 North Route 31, Crystal Lake, IL 60012 | 2006-01-11 |
| 1437463445 | John Edmond Richard | Counselor | 301 N Elm St, Greensboro, NC 27401-2083 | 2010-08-02 |
| 1659581643 | John Wesley Richard IIi | Internal Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2007-05-22 |
| 1124047717 | John W. Richard | Family Medicine | 989 Governors Ln Ste 220, Lexington, KY 40513-1175 | 2006-07-18 |
| 1568448116 | John D Richard | Obstetrics & Gynecology | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2005-12-15 |
| Street Address |
11104 PARKVIEW CIRCLE DR STE 330 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422858 | Sharon Worlton | Registered Nurse | 11104 Parkview Circle Dr Ste 330, Fort Wayne, IN 46845-1674 | 2020-09-17 |
| 1992311849 | Natasha Sinanon-oyeneye | Registered Nurse | 11104 Parkview Circle Dr Ste 330, Fort Wayne, IN 46845-1674 | 2020-09-16 |
| 1073729125 | Garima Gupta | Internal Medicine | 11104 Parkview Circle Dr Ste 330, Fort Wayne, IN 46845-1674 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215153 | Mark A Fisher | Physician Assistant | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2005-09-15 |
| 1275142986 | Bradley Ophoff | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-07-28 |
| 1073963351 | Jenifer Kay Fortney | Physician Assistant | 5650 Coventry Ln, Fort Wayne, IN 46804-7140 | 2016-06-16 |
| 1972900199 | Rachel Mcpherson | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2014-12-03 |
| 1730581067 | Keith William Lowe | Physician Assistant | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2014-09-18 |
| 1528321759 | Sarita Ruetz | Physician Assistant | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2012-06-21 |
| 1760765945 | Jennifer Raye Myers | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2011-09-23 |
| 1841421583 | Nathaniel D Roach | Physician Assistant | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2009-07-29 |
| 1265678486 | Cheryl Lynn Kiel | Physician Assistant | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2008-12-17 |
| 1407010564 | Emily E Lierman | Physician Assistant | 2200 Randallia Dr., Fort Wayne, IN 46805-4638 | 2008-07-17 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on JOHN PAUL RICHARD.
| 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.