RICHARD KENTON PLOURDE JR. (NPI# 1184194847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184194847 |
| Entity Type | Individual |
| Full Name | RICHARD KENTON PLOURDE JR. |
| Credential | C PED |
| Practice Address |
1023 Emmet St N Charlottesville VA 22903-4834 |
| Mailing Address |
1621 Quail Run Charlottesville VA 22911-9054 |
| Practice Telephone | 4342450205 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1023 EMMET ST N |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-4834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821172347 | Richey Fas LLC | Durable Medical Equipment & Medical Supplies | 1023 Emmet St N, Charlottesville, VA 22903-4834 | 2006-10-24 |
| 1285104935 | Deborah Flack Richey | Pedorthist | 1023 Emmet St N, Charlottesville, VA 22903-4834 | 2018-11-26 |
| 1194295857 | Mark Allen Hough | Pedorthist | 1023 Emmet St N, Charlottesville, VA 22903-4834 | 2018-11-26 |
| 1043780711 | Michael Evan Ross | Pedorthist | 1023 Emmet St N, Charlottesville, VA 22903-4834 | 2018-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104935 | Deborah Flack Richey | Pedorthist | 1023 Emmet St N, Charlottesville, VA 22903-4834 | 2018-11-26 |
| 1194295857 | Mark Allen Hough | Pedorthist | 1023 Emmet St N, Charlottesville, VA 22903-4834 | 2018-11-26 |
| 1043780711 | Michael Evan Ross | Pedorthist | 1023 Emmet St N, Charlottesville, VA 22903-4834 | 2018-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073948857 | Asim Alli | Pedorthist | 4252 Electric Rd, Roanoke, VA 24018-0728 | 2013-09-11 |
| 1962972638 | Alick Amini | Pedorthist | 1366 Chain Bridge Rd, Mc Lean, VA 22101-3904 | 2018-11-26 |
| 1629548383 | Michael Rodney Gregory | Pedorthist | 1366 Chain Bridge Rd, Mc Lean, VA 22101-3904 | 2018-11-26 |
| 1417436965 | Steven C Franklin | Pedorthist | 509 Viking Dr Ste E, Virginia Beach, VA 23452-7323 | 2018-08-07 |
| 1477077113 | Prostride Orthotics LLC | Pedorthist | 9609 Gayton Rd Ste 102, Richmond, VA 23238-4900 | 2017-08-02 |
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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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.