DR. PAUL MCKINLEY RICHARDSON JR. (NPI# 1972596005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972596005 |
| Entity Type | Individual |
| Full Name | DR. PAUL MCKINLEY RICHARDSON JR. |
| Credential | M.D. |
| Practice Address |
2367b Cypress Cir Conway SC 29526-8921 |
| Practice Telephone | 8433491001 |
| Practice Fax Number | 8433491008 |
| Mailing Telephone | 8433491001 |
| Mailing Fax Number | 8433491008 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2010-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 23051 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326413345 | Paul Andrew Richardson | Registered Nurse | 997 E 3900 S Ste 203, Salt Lake City, UT 84124-1108 | 2015-12-02 |
| 1578799433 | Paul B Richardson | Physical Therapy Assistant | 818 Midway Dr, Auburn, IN 46706-1128 | 2009-06-05 |
| 1124018999 | Paul E.l. Richardson | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2005-10-24 |
| 1265086797 | Paul Richardson | Social Worker | 8737 Colesville Rd Ste 700, Silver Spring, MD 20910-7901 | 2019-08-01 |
| 1891251583 | Paul Lee Richardson | Driver | 501 Park Ave, Richmond, VA 23223-4816 | 2019-02-18 |
| 1134403918 | Paul J Richardson | Social Worker | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2011-09-28 |
| 1215104146 | Paul Richardson | Case Manager/Care Coordinator | 750 N 200 W, Provo, UT 84601-1677 | 2008-05-09 |
| 1063532299 | Paul Lee Richardson | Dentist | 11092 Anderson St., Loma Linda, CA 92354 | 2007-03-30 |
| 1770544256 | Paul G Richardson | Internal Medicine | 44 Binney Street, Dana Farber Cancer Institute, Boston, MA 02115 | 2006-04-01 |
| 1750369088 | Paul Timothy Richardson | Psychiatry & Neurology | 2550 University Ave W, Ste 229n, Saint Paul, MN 55114-1052 | 2006-01-06 |
| Street Address |
2367B CYPRESS CIR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659755361 | Justin Pandoo | Internal Medicine | 2367b Cypress Cir, Conway, SC 29526-8921 | 2015-07-13 |
| 1154669265 | Rachel M Collins | Nurse Practitioner | 2367b Cypress Cir, Conway, SC 29526-8921 | 2013-01-24 |
| 1669441481 | Carolina Internal Medicine of Conway, LLC | Internal Medicine | 2367b Cypress Cir, Conway, SC 29526-8921 | 2006-03-15 |
| 1316930324 | Carol Ann Gardner | Nurse Practitioner | 2367b Cypress Cir, Conway, SC 29526-8921 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952648594 | Conway Hospital, Inc. | Internal Medicine | 2376 Cypress Cir, Ste 102, Conway, SC 29526-8964 | 2013-01-15 |
| 1326341652 | John William Watson | Internal Medicine | 52 Lakeview Dr, Conway, AR 72032-8811 | 2010-12-08 |
| 1841425253 | Ahmed Ali | Internal Medicine | 655 Dave Ward Dr, Ste 103, Conway, AR 72034 | 2009-05-29 |
| 1639359888 | Gerson Airel Teran | Internal Medicine | 4925 Cindy Lee Cv, Conway, AR 72034-7496 | 2007-11-05 |
| 1932235785 | Eric Anthony Woodard | Internal Medicine | 525 Hendrix Cv, Conway, AR 72034-7742 | 2007-02-26 |
| 1316089485 | Occ Doc of South Carolina | Internal Medicine | 154 Waccamaw Medical Park Ct # A, Conway, SC 29526-8965 | 2007-02-13 |
| 1952482952 | Conway Internists, P.a. | Internal Medicine | 8002 Myrtle Trace Dr., Conway, SC 29526 | 2006-10-17 |
| 1942393467 | Pamela Pyle | Internal Medicine | 1396 Highway 544, Conway, SC 29526-8443 | 2006-10-02 |
| 1447358213 | Regina Ann Roman | Internal Medicine | 154a Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2006-09-20 |
| 1538180211 | Rajan Gupta | Internal Medicine | 241 Singleton Ridge Rd, Ste A, Conway, SC 29526 | 2006-07-21 |
| Find all providers in CONWAY | ||||
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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.