KEVIN A RICHARDSON (NPI# 1861496762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861496762 |
| Entity Type | Individual |
| Full Name | KEVIN A RICHARDSON |
| Credential | MD |
| Practice Address |
502 Elm St Ne Albuquerque NM 87102-2512 |
| Practice Telephone | 5058411000 |
| Practice Fax Number | 5058432592 |
| Mailing Telephone | 5058411000 |
| Mailing Fax Number | 5058432956 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036125892 | IL | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001-290 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036125892 | 05 | |
| NM | J1459 | 05 | |
| IL | BLUECROSS BLUESHIELD | 01618941 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003049909 | Kevin Richardson | Adult Companion | 5029 Ne Killingsworth St, Portland, OR 97218 | 2009-08-26 |
| 1821258385 | Kevin Richardson | Pharmacist | 7887 N La Cholla Blvd, Apt #1026, Tucson, AZ 85741-4313 | 2008-06-09 |
| 1043853617 | Kevin Richardson | Counselor | 1901 D St Se, Washington, DC 20003-2534 | 2019-10-25 |
| 1689136897 | Kevin Michael Richardson | Student in an Organized Health Care Education/Training Program | 1700 E Saunders St, Laredo, TX 78041-5474 | 2019-04-05 |
| 1497128391 | Kevin Richardson | Social Worker | 22 Us Oval Ste 100, Plattsburgh, NY 12903-5901 | 2015-11-02 |
| 1861864852 | Kevin Richardson | Physician Assistant | 10715 Downsville Pike, Hagerstown, MD 21740-7240 | 2015-10-29 |
| 1538577200 | Kevin Richardson | Anesthesiologist Assistant | 6431 Fannin St, Houston, TX 77030-1501 | 2014-07-25 |
| 1639502107 | Kevin Richardson | Occupational Therapist | 166 Mount Pleasant Rd, Newtown, CT 06470-1456 | 2013-08-19 |
| 1235363524 | Kevin Richardson | Counselor | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2009-05-14 |
| 1639320054 | Kevin Eugene Richardson | Occupational Therapist | 41505 Carlotta Dr, Palm Desert, CA 92211-3279 | 2008-10-03 |
| Street Address |
502 ELM ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464600 | William M. Deane | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2005-06-01 |
| 1568019404 | Lily A Jackman | Registered Nurse | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2019-08-26 |
| 1326539420 | Sandeep Nair | Internal Medicine | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2018-05-24 |
| 1710403589 | Catherine Elizabeth Mahoney | Nurse Practitioner | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2017-08-14 |
| 1336664820 | Arun L Malikayil | Physician Assistant | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2017-08-07 |
| 1033642921 | Crystal Lewis-hicks | Nurse Practitioner | 502 Elm St Ne, Albuquerque, NM 87102 | 2017-04-06 |
| 1275073009 | Rachel Deaton | Registered Nurse | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2017-02-27 |
| 1609318500 | Judith Everett | Registered Nurse | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2016-11-08 |
| 1972050383 | David Wayne Young | Physician Assistant | 502 Elm St Ne, Albuquerque, NM 87102 | 2016-09-01 |
| 1134520232 | Erin Miller Schultz | Physician Assistant | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2014-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689819484 | William Stein Iv | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Cedar St Se Ste 2400, Albuquerque, NM 87106-4917 | 2008-12-08 |
| 1730241241 | Diane Sansonetti | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5600 Wyoming Blvd Ne Ste 10, Albuquerque, NM 87109 | 2006-12-14 |
| 1659392892 | Jorge Wernly | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2 Nd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-22 |
| 1568464600 | William M. Deane | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2005-06-01 |
| 1558511469 | Dana Alexander Booth | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2008-09-27 |
| 1649451345 | Cardiovascular and Endovascular Solutions, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 500 Walter St Ne, Albuquerque, NM 87102-2534 | 2007-11-21 |
| 1285726802 | Brian D Castlemain | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2006-09-29 |
| 1992807929 | William A Talbot | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5400 Gibson Blvd Se, Albuquerque, NM 87108 | 2006-09-01 |
| 1023025087 | Stuart Pett | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2nd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-02 |
| 1700891264 | Charles Dietl | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2nd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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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.