Samuel W Richard (NPI# 1346246303, PAC ID# 5799710281) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1346246303 |
| PAC ID by PECOS | 5799710281 |
| Professional Enrollment ID | I20060627000247 |
| Full Name | Samuel W Richard |
| Organization Legal Name | NORTHWEST ACUTE CARE SPECIALISTS PC |
| Address |
24800 Se Stark St Gresham OR 97030-3378 |
| Phone Number | 5036741122 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7012807373 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501317 | COLUMBIA BASIN HOSPITAL |
| 380025 | LEGACY MOUNT HOOD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24800 Se Stark St, Gresham, OR 97030-3378 | 5036741122 | NORTHWEST ACUTE CARE SPECIALISTS PC |
| 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 5034137711 | NORTHWEST ACUTE CARE SPECIALISTS PC |
| Organization Legal Name | NORTHWEST ACUTE CARE SPECIALISTS PC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tao Y Zhu | Emergency Medicine | Northwest Acute Care Specialists PC | 2801 N Gantenbein Ave, Portland, OR 97227-1623 |
| Michael B Stone | Emergency Medicine | Northwest Acute Care Specialists PC | 2801 N Gantenbein Ave, Portland, OR 97227-1623 |
| Jamie Mcginnity | Emergency Medicine | Northwest Acute Care Specialists PC | 2801 N Gantenbein Ave, Portland, OR 97227-1623 |
| James H Little Iii | Emergency Medicine | Northwest Acute Care Specialists PC | 1015 Nw 22nd Ave, Portland, OR 97210-3025 |
| Andy S Barnett | Emergency Medicine | Northwest Acute Care Specialists PC | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
| Amy S Kaluza | Emergency Medicine | Northwest Acute Care Specialists PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| James M Wallace Jr. | Emergency Medicine | Northwest Acute Care Specialists PC | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
| Warren Philip Johnson | Emergency Medicine | Northwest Acute Care Specialists PC | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
| Catherine Erickson | Emergency Medicine | Northwest Acute Care Specialists PC | 1015 Nw 22nd Ave, Portland, OR 97210-3025 |
| Lorelie A Vardanega | Emergency Medicine | Northwest Acute Care Specialists PC | 2801 N Gantenbein Ave, Portland, OR 97227-1623 |
| Street Address |
24800 SE STARK ST |
| City | GRESHAM |
| State | OR |
| Zip | 97030-3378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emmanuel Tavan | Pulmonary Disease | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Kathrin R Meyers | Internal Medicine | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Elizabeth T Kutella | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Elliot Joo | Gastroenterology | Portland Adventist Medical Center | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Michelle Dwulit | Internal Medicine | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Andrew Y Kee | Radiation Oncology | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Sarah A Walter | Pathology | Cascade Pathology Services Corp | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Brian R Mahon | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Ange Mong Ly | Internal Medicine | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Scott D Sonek | Nurse Practitioner | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne T Daly | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| David A Pierce | Family Medicine | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Agnes White | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Jaclyn Jones | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Elizabeth Claire Yiu | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Emma Moore | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Mary Jepson | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Amanda Cort | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| John L Strauss | Chiropractic | 620 Se 223rd Ave, Gresham, OR 97030-2510 | |
| Mark A George | Optometry | 22640 Se Stark St, Gresham, OR 97030-2684 | |
| Find all physicians in zip 97030 | |||
| City | GRESHAM |
| Zip Code | 97030 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GRESHAM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Samuel W Richard.
| 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.