Nicole R Richardson (NPI# 1023000775, PAC ID# 4688563273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1023000775 |
| PAC ID by PECOS | 4688563273 |
| Professional Enrollment ID | I20050919001087 |
| Full Name | Nicole R Richardson |
| Organization Legal Name | JIVANA LLC |
| Address |
4314 Montgomery Ave Bethesda MD 20814-4402 |
| Phone Number | 3019513606 |
| Gender | F |
| Credential | DO |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2860705910 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4314 Montgomery Ave, Bethesda, MD 20814-4402 | 3019513606 | JIVANA LLC |
| Organization Legal Name | JIVANA LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renuka Gupta | Internal Medicine | Jivana LLC | 6931 Arlington Rd, Suite 520, Bethesda, MD 20814-5569 |
| Gezzer Ortega | Internal Medicine | Jivana LLC | 6931 Arlington Rd, Suite 520, Bethesda, MD 20814-5569 |
| Subash Babu Duggirala | Preventative Medicine | Jivana LLC | 6931 Arlington Rd, Suite 520, Bethesda, MD 20814-5569 |
| Denia Tapscott | Internal Medicine | Jivana LLC | 6931 Arlington Rd, Suite 520, Bethesda, MD 20814-5569 |
| Theodros Seyoum | General Surgery | Jivana LLC | 4314 Montgomery Ave, Bethesda, MD 20814-4402 |
| Crystal Mebane Mcginty | Internal Medicine | Jivana LLC | 4314 Montgomery Ave, Bethesda, MD 20814-4402 |
| Street Address |
4314 MONTGOMERY AVE |
| City | BETHESDA |
| State | MD |
| Zip | 20814-4402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theodros Seyoum | General Surgery | Jivana LLC | 4314 Montgomery Ave, Bethesda, MD 20814-4402 |
| Crystal Mebane Mcginty | Internal Medicine | Jivana LLC | 4314 Montgomery Ave, Bethesda, MD 20814-4402 |
| Michael Gray | Family Practice | Michael Gray Md PC | 4314 Montgomery Ave, Bethesda, MD 20814-4402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph Dewey Teunis | Optometry | 5630 Bradley Blvd, Bethesda, MD 20814-1006 | |
| Mahmud R Elbackush | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Michael J Peck | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Katharine Funari | Optometry | Johns Hopkins University | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Michelle C Divito | Emergency Medicine | Bethesda Emergency Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Andrew Demidowich | Hospitalist | Johns Hopkins Community Physicians | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Colleen Rodak | Nurse Practitioner | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Ima Sasu | Nurse Practitioner | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Eligio B Aguhob | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Brian J Masterson | Internal Medicine | Axis Healthcare Group | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Find all physicians in zip 20814 | |||
| City | BETHESDA |
| Zip Code | 20814 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BETHESDA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Nicole R Richardson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.