MR. SCOTT DENNIS RICHARDS (NPI# 1245388891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245388891 |
| Entity Type | Individual |
| Full Name | MR. SCOTT DENNIS RICHARDS |
| Credential | PA-C |
| Practice Address |
601 Radio Hill Road Mel Leaman Free Clinic At Emory & Henry College Marion VA 24354 |
| Practice Telephone | 2767812090 |
| Practice Fax Number | 2073303955 |
| Mailing Telephone | 2767812090 |
| Mailing Fax Number | 2077836660 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA-138 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PAN686 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110004884 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 336160099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457774515 | Scott M Richards | Pharmacist | 3522 W Wisconsin Ave, Milwaukee, WI 53208-3846 | 2014-01-27 |
| 1730519042 | Scott A Richards I | Specialist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2013-11-22 |
| 1619025681 | Scott Burgess Richards | Psychiatry & Neurology | 4500 W Midway Rd, Fort Pierce, FL 34981-4823 | 2007-01-08 |
| 1427112465 | Scott L Richards | Counselor | 1073 Oak St Se, Salem, OR 97301-4018 | 2006-12-21 |
| 1902904485 | Scott T Richards | Physical Therapist | 224 N 5th St, Brainerd, MN 56401-3348 | 2006-09-20 |
| 1487660908 | Scott Richards | Physical Therapist | 2400 Nw Myhre Rd Ste 102, Silverdale, WA 98383-7672 | 2006-08-01 |
| 1447232806 | Scott C Richards | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804 | 2005-11-18 |
| Street Address |
601 RADIO HILL ROAD MEL LEAMAN FREE CLINIC AT EMORY & HENRY COLLEGE |
| City | MARION |
| State | VA |
| Zip Code | 24354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699831511 | Mel Leaman Free Clinic At Emory & Henry College, Inc. | Clinic/Center | 601 Radio Hill Road, Marion, VA 24354 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352461 | Heath Andrew Nier | Physical Therapist | 1141 N Main St Ste 41, Marion, VA 24354 | 2018-03-30 |
| 1255748513 | Lou Fincher | Specialist/Technologist | 601 Radio Hill Dr., Marion, VA 24354 | 2014-07-18 |
| 1467869040 | Tessa Suzanne Brown | Nurse Practitioner | 1204 N. Main Street, Marion, VA 24354 | 2014-07-16 |
| 1780927129 | Jessika Nikhole Schottelkotte | Nurse Practitioner | 245 Medical Park Dr., Marion, VA 24354 | 2013-04-04 |
| 1083893598 | Norah Ann Nutter | Nurse Practitioner | 1616 N Main St Ste 100b, Marion, VA 24354 | 2007-10-31 |
| 1962621052 | Jonathan E Rouse | Durable Medical Equipment & Medical Supplies | 242 Seven Mile Ford Rd, Marion, VA 24354 | 2007-04-25 |
| 1568548741 | Hunter Kevin Woods | Dentist | 639 Park Boulevard, Marion, VA 24354 | 2006-10-31 |
| 1992804645 | Victoria Hollis Galloway | Physician Assistant | 601 Radio Hill Rd., Marion, VA 24354 | 2006-09-21 |
| 1154426351 | Joseph A. Beaty | Social Worker | 434 Mitchell Valley Road, Marion, VA 24354 | 2006-09-13 |
| 1164525804 | Virginia Cvs Pharmacy LLC | Pharmacy | 945 A N Main St, Marion, VA 24354 | 2006-09-07 |
| Find all providers in zip 24354 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285704585 | Keith Charles Damico | Physician Assistant | 5235 Nc 226 S, Marion, NC 28752-8733 | 2006-11-08 |
| 1578178679 | Amelia Kate Stigall | Physician Assistant | 1301 E Deyoung St, Marion, IL 62959-3846 | 2020-09-15 |
| 1689223208 | Emily Jane Bodfish | Physician Assistant | 1204 N Main St, Marion, VA 24354-4312 | 2019-09-06 |
| 1306343512 | Cody Jordan Harris | Physician Assistant | 970 S Prospect St, Marion, OH 43302-6225 | 2018-04-12 |
| 1174989800 | Andrew Michael Bandsuh | Physician Assistant | 1000 Mckinley Park Dr, Marion, OH 43302-6399 | 2016-01-11 |
| 1295108363 | Julia Petraitis | Physician Assistant | 1728 Marion Waldo Rd, Marion, OH 43302-7457 | 2015-11-11 |
| 1396146460 | Cameron M Ratcliff | Physician Assistant | 1616 N Main St, Ste 100a, Marion, VA 24354-4473 | 2014-09-09 |
| 1447593694 | Harry William Howe | Physician Assistant | 1583 N Main St, Marion, VA 24354-4317 | 2013-04-05 |
| 1295088748 | Zed Alex Mansfield | Physician Assistant | 2293 Sugar Hill Rd Ste D, Marion, NC 28752-7787 | 2012-10-22 |
| 1003079328 | Karen Pauley | Physician Assistant | 402 S State St, Marion, OH 43302-5000 | 2008-07-07 |
| Find all providers in MARION | ||||
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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.