DONALD RICHARDSON


Address: 12345 W Bend Dr, Suite 300, Saint Louis, MO 63128-2182
Phone: 3148496000

DONALD RICHARDSON (NPI# 1700867215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700867215
Entity Type Individual
Full Name DONALD RICHARDSON
Credential M.D.
Practice Address 12345 W Bend Dr
Suite 300
Saint Louis
MO 63128-2182
Mailing Address Po Box 23340
Saint Louis
MO 63156-3340
Practice Telephone 3148496000
Practice Fax Number 3148491417
Mailing Telephone 3148496000
Mailing Fax Number 3148491417
Enumeration Date 2005-11-10
Last Update Date 2012-09-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QG0300X Family Medicine
Specialization: Geriatric Medicine
R6979 MO Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine R6979 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO HEALTHLINK 114793 01
MO BCBS 9184 01
MO ESSENCE 000000010031 01
MO UHC 0400272 01
MO 201659414 05
MO AETNA 4214916 01
MO MERCY A10039 01
MO GHP 127486 01

Other Providers DONALD RICHARDSON

NPI Name Taxonomy Address Enumeration
1336283548 Donald Ray Richardson Psychologist 11704 Kingston Pike, Knoxville, TN 37934-3827 2007-02-19
1003904004 Donald L Richardson Optometrist 246 Poplar Ave, Suite 1, Somerset, KY 42503-1701 2006-10-11
1184676488 Donald E. Richardson Neurological Surgery 1200 Pinnacle Pkwy Ste 7, Covington, LA 70433 2006-05-16
1679574925 Donald Ray Richardson Dermatology 1000 E High St, Ste B, Charlottesville, VA 22902-4848 2005-08-09
1538566369 Donald Richardson Case Management 7901 Ne 10th St, Midwest City, OK 73110-3600 2014-11-21
1588972038 Donald Brent Richardson Pharmacist 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 2010-09-17
1427384882 Donald James Richardson Chiropractor 10628 Riverside Dr, Ste. #5, Toluca Lake, CA 91602-2358 2009-10-20
1144371774 Donald Glenn Richardson Dentist 13603 Barrett Office Drive, Ste 104, St Louis, MO 63021-7828 2007-01-12
1518076694 Donald Edward Richardson Speech-Language Pathologist 3900 Woodland Ave, Philadelphia, PA 19104-4551 2006-08-30
1932176765 Donald Wingfield Richardson Internal Medicine 855 W Brambleton Ave, Norfolk, VA 23510-1005 2006-03-01

Office Location

Street Address 12345 W BEND DR
SUITE 300
City SAINT LOUIS
State MO
Zip Code 63128-2182

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750380655 Anita Renee Schnapp Obstetrics & Gynecology 12345 W Bend Dr, Ste 105, Saint Louis, MO 63128-2182 2005-07-21
1831599059 South County Women's Health, P.C. Obstetrics & Gynecology 12345 W Bend Dr, 105, Saint Louis, MO 63128-2182 2014-08-25
1972942985 Herman Kendrith Beebe IIi Internal Medicine 12345 W Bend Dr, Ste 300, Saint Louis, MO 63128-2182 2013-06-24
1336376714 Howard Bon Hsu Internal Medicine 12345 W Bend Dr, Suite 300, Saint Louis, MO 63128-2182 2009-06-12
1376705848 Broad Midwest Anesthesia, LLC Anesthesiology 12345 W Bend Dr, Suite 200, Saint Louis, MO 63128-2182 2008-06-26
1225298680 Tonya M Winfrey Nurse Anesthetist, Certified Registered 12345 W Bend Dr, Suite 201, Saint Louis, MO 63128-2182 2008-06-10
1083884894 South County Surgical Center, LLC Clinic/Center 12345 W Bend Dr, Suite 201, Saint Louis, MO 63128-2182 2008-03-07
1912026345 Linda Darlene Stefano Nurse Practitioner 12345 W Bend Dr, Suite 200, Saint Louis, MO 63128-2104 2007-03-28
1699805333 Barry Joe Smith Anesthesiology 12345 W Bend Dr, Suite 201, Saint Louis, MO 63128-2182 2007-03-06
1881702728 South County Imaging Center LLC Radiology 12345 W Bend Dr, Ste 200, Saint Louis, MO 63128-2104 2006-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235771155 James T Fetsch Dmd LLC Dentist 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 2019-10-11
1326504655 Nikodem Dental Holdings Dentist 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 2019-02-12
1932678505 Michelle Anne Arvidson Physical Therapy Assistant Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 2018-11-13
1245726710 Kristen Rider Nurse Practitioner 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 2018-07-07
1306217427 Sophia Bednarski Dentist 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 2015-10-15
1427434224 Darcie Burrus Counselor 12523 Old Tesson Rd G, St Louis, MO 63128 2015-08-04
1710368584 Sara Hawatmeh Internal Medicine 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 2015-06-17
1871989590 Celia Grace Montes-kolence Speech-Language Pathologist 12335 W Bend Drive, Saint Louis, MO 63128 2015-04-09
1245629302 Marius Antonio Evans Dentist 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 2015-01-13
1801230313 Sarah Elizabeth Walsh Emergency Medicine 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 2013-04-26
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780223933 Glenn C. Jacobsen Internal Medicine 7 Carrswold Dr, Saint Louis, MO 63105-2914 2020-01-04
1396305868 Kevin Colin O'fee Internal Medicine 1 Barnes Jewish Hospital Plz # 90-29928, Saint Louis, MO 63110-1003 2019-06-17
1144740200 Michael Slade Internal Medicine 660 S Euclid Ave # 8056-29, Saint Louis, MO 63110-1010 2017-06-20
1386171312 Niaz Memon Internal Medicine 625 S New Ballas Rd Ste 7020, Saint Louis, MO 63141-8218 2017-05-22
1043746027 Paul David Olivo Internal Medicine 639 W Polo Dr, Saint Louis, MO 63105-2635 2017-05-11
1649706243 Jared Frisby Internal Medicine 1100 S Grand Blvd Fl 8, Saint Louis, MO 63104-1015 2017-05-03
1518417708 Md At Home LLC Internal Medicine 6 Portland Pl, Saint Louis, MO 63108-1204 2016-10-11
1285087429 Kathryn Parker Internal Medicine 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 2016-07-22
1831540863 John Kirby Krause Jr. Internal Medicine 1031 Highlands Plaza Dr W, Apt 510, Saint Louis, MO 63110-1303 2016-06-30
1104277458 Vedica Sharma Internal Medicine 10010 Kennerly Rd Ste 140, Saint Louis, MO 63128-2106 2016-06-28
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Competitor

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City SAINT LOUIS
Zip Code 63128

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Dataset Information

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.

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