Michelle W Richardson (NPI# 1194918052, PAC ID# 7214023613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194918052 |
| PAC ID by PECOS | 7214023613 |
| Professional Enrollment ID | I20071017000150 |
| Full Name | Michelle W Richardson |
| Organization Legal Name | INTRACOASTAL INTERNAL MEDICINE |
| Address |
2580 Pickard Rd Wilmington NC 28403-4461 |
| Phone Number | 9103320701225 |
| Gender | F |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668477878 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340141 | NEW HANOVER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2580 Pickard Rd, Wilmington, NC 28403-4461 | 9103320701225 | INTRACOASTAL INTERNAL MEDICINE |
| Organization Legal Name | INTRACOASTAL INTERNAL MEDICINE |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey E Pennington | Physician Assistant | Intracoastal Internal Medicine | 2580 Pickard Rd, Wilmington, NC 28403-4461 |
| Erin C Dills | Nurse Practitioner | Intracoastal Internal Medicine | 2580 Pickard Rd, Wilmington, NC 28403-4461 |
| Heather S Goldstein | Physician Assistant | Intracoastal Internal Medicine | 2580 Pickard Rd, Wilmington, NC 28403-4461 |
| Ashley Rose Horne | Nurse Practitioner | Intracoastal Internal Medicine | 2580 Pickard Rd, Wilmington, NC 28403-4461 |
| Andre J Leonard | Internal Medicine | Intracoastal Internal Medicine | 2580 Pickard Rd, Wilmington, NC 28403-4461 |
| Christopher C Cosgrove | Internal Medicine | Intracoastal Internal Medicine | 2580 Pickard Rd, Wilmington, NC 28403-4461 |
| Street Address |
2580 PICKARD RD |
| City | WILMINGTON |
| State | NC |
| Zip | 28403-4461 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey E Pennington | Physician Assistant | Intracoastal Internal Medicine | 2580 Pickard Rd, Wilmington, NC 28403-4461 |
| Erin C Dills | Nurse Practitioner | Intracoastal Internal Medicine | 2580 Pickard Rd, Wilmington, NC 28403-4461 |
| Heather S Goldstein | Physician Assistant | Intracoastal Internal Medicine | 2580 Pickard Rd, Wilmington, NC 28403-4461 |
| Ashley Rose Horne | Nurse Practitioner | Intracoastal Internal Medicine | 2580 Pickard Rd, Wilmington, NC 28403-4461 |
| Andre J Leonard | Internal Medicine | Intracoastal Internal Medicine | 2580 Pickard Rd, Wilmington, NC 28403-4461 |
| Christopher C Cosgrove | Internal Medicine | Intracoastal Internal Medicine | 2580 Pickard Rd, Wilmington, NC 28403-4461 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Tar | Clinical Social Worker | 1410 Commonwealth Dr, Suite 101a, Wilmington, NC 28403-0383 | |
| Christopher R Myers | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Brett A Gurkin | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Geoffrey D Holland | Physician Assistant | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Patricia Davis Prichard | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Katherine Sharon Martin | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Catherine Marie Dalton | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Joseph Painter | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Rasika Khatu Whitesell | Optometry | Myeyedr Optometry of North Carolina Pllc | 3501 Oleander Dr, Suite 7, Wilmington, NC 28403-0824 |
| Thomas M Walent Iii | Optometry | The Eye Center Doctors of Optometry Pa | 3500 Oleander Dr, B10, Wilmington, NC 28403-0842 |
| Find all physicians in zip 28403 | |||
| City | WILMINGTON |
| Zip Code | 28403 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WILMINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michelle W 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.