DR. JOHN M RICHARDSON (NPI# 1265848576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265848576 |
| Entity Type | Individual |
| Full Name | DR. JOHN M RICHARDSON |
| Credential | M.D. |
| Practice Address |
27th Special Operations Medical Group 244 W D.l. Ingram Ave Cannon Afb NM 88101-5103 |
| Mailing Address |
27th Special Operations Medical Group/sghc 244 W D.l. Ingram Ave Cannon Afb NM 88101-5103 |
| Practice Telephone | 5759043917 |
| Practice Fax Number | 5757846028 |
| Mailing Telephone | 5759043917 |
| Mailing Fax Number | 5757846028 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2019-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101260556 | VA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0116027332 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306022553 | John Coleman Richardson | Chiropractor | 2235 Se Tualatin Valley Hwy, Hillsboro, OR 97123-7975 | 2008-01-18 |
| 1255480406 | John Vernon Dale Richardson | Dentist | 1409 Whitley Ave, Suite D, Corcoran, CA 93212 | 2007-01-09 |
| 1285796359 | John David Richardson | Chiropractor | 134 E St Charles, San Andreas, CA 95249 | 2006-12-15 |
| 1538269329 | John Robert Richardson | Counselor | Pp/125 Building 314 Room C106, Va Medical Center - Perry Point Div, Perry Point, MD 21902 | 2006-09-22 |
| 1710995766 | John David Richardson II | Dentist | 421 Sw 2nd St, Corning, AR 72422-2708 | 2006-08-04 |
| 1225678832 | John Anthony Richardson | Counselor | 753 N State St, North Vernon, IN 47265-1044 | 2020-01-11 |
| 1083138069 | John Erik Richardson I | Pharmacist | 2519 Main St, Union Gap, WA 98903-1605 | 2017-08-01 |
| 1750746491 | John Daniel Richardson | Registered Nurse | 2900 Spring Hill Ave, Mobile, AL 36607-1822 | 2015-12-23 |
| 1376921882 | John Richardson Jr. | Counselor | 4141 E Dickenson Pl, Denver, CO 80222-6012 | 2015-05-16 |
| 1558706986 | John Tyler Richardson | Physical Medicine & Rehabilitation | 625 19th St S, Birmingham, AL 35233-1900 | 2013-04-29 |
| Street Address |
27TH SPECIAL OPERATIONS MEDICAL GROUP 244 W D.L. INGRAM AVE |
| City | CANNON AFB |
| State | NM |
| Zip Code | 88101-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972833523 | Deborah J Angeles | Nurse Practitioner | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2010-01-04 |
| 1649814120 | Chase Chesterman | Dietitian, Registered | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2019-10-29 |
| 1134613342 | Nicholas F Polk | Social Worker | 27th Special Operations Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88103-5103 | 2018-06-20 |
| 1144725755 | Kent Andrew Boucher | General Practice | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2018-03-26 |
| 1184137218 | Racheal L Rivera | Nurse Practitioner | 27th Special Operations Medical Group, 27 Somdg/sghc, Cannon Afb, NM 88103-5103 | 2017-11-11 |
| 1821510033 | Wallace D Cleveland Jr. | Physician Assistant | 27th Special Operations Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88103-5103 | 2017-07-10 |
| 1497104194 | Anne M Murphy | Pediatrics | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2016-06-03 |
| 1710287362 | Julie A Thomas | Nurse Practitioner | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2010-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770606808 | David Joseph Martinez | Family Medicine | 27 Somdg, 208 W Casablanca Ave, Bldg 1400, Cannon Afb, NM 88103-5014 | 2007-04-06 |
| 1043693104 | Kimberly Baker | Family Medicine | 27th Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88103-5103 | 2015-07-07 |
| 1306228325 | Katherine Milam | Family Medicine | 208 W Casablanca Ave, Cannon Afb, NM 88103-5009 | 2015-06-25 |
| 1255713491 | Alexander Sparkman-royo | Family Medicine | 224 West D.l. Ingram Ave, Cannon Afb, NM 88103 | 2015-06-24 |
| 1952749152 | William Spencer Ellis | Family Medicine | 208 W D L Ingram Blvd, Cannon Afb, NM 88103-5103 | 2013-06-10 |
| 1710115050 | Elizabeth Duffy-milmo | Family Medicine | 208 W Casablanca, Cannon Afb, NM 88103 | 2009-06-25 |
| 1740440098 | E Brandon Webb | Family Medicine | 208 W Casablanca Ave, Cannon Afb, NM 88103-5009 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001024 | Laguna Healthcare Corp | Family Medicine | 6 Basswood Rd, Paraje, NM 87007 | 2020-10-20 |
| 1063027761 | Compassion Care Clinic PC | Family Medicine | 600 Hwy 195, Ste A, Elephant Butte, NM 87935 | 2020-09-10 |
| 1063027696 | Comprehensive Gastrostomy Tube Cares, LLC | Family Medicine | 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, NM 87113-1946 | 2020-09-10 |
| 1700498748 | Sandia View Family Medicine, PC | Family Medicine | 4200 Meadowlark Ln Se Ste 2, Rio Rancho, NM 87124-1050 | 2020-08-20 |
| 1740898428 | Dr. Maggie Wilson, PC | Family Medicine | 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 | 2020-07-17 |
| 1861028102 | Lindsay Sue Cerrone | Family Medicine | 6 Kalma Ln, Edgewood, NM 87015-9593 | 2020-03-18 |
| 1053947408 | Optimal Wellness Journey | Family Medicine | 3231 Caminito San Lucas, Santa Fe, NM 87507-0443 | 2020-03-18 |
| 1831734813 | Leandra Lee Medina | Family Medicine | 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 | 2019-11-13 |
| 1053952473 | Healthnm, LLC | Family Medicine | 3612 Plano Vista Rd Ne, Rio Rancho, NM 87124-4182 | 2019-10-07 |
| 1497301824 | Gila Regional Medical Center | Family Medicine | 901 S. Gold Avenue, Deming, NM 88030 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
| City | CANNON AFB |
| Zip Code | 88101 |
Please comment or provide details below to improve the information on DR. JOHN M RICHARDSON.
| 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.