GARY DALE RICHARDSON (NPI# 1447297023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447297023 |
| Entity Type | Individual |
| Full Name | GARY DALE RICHARDSON |
| Credential | DO |
| Practice Address |
400 Austin Ave Nw Massillon OH 44646-3598 |
| Mailing Address |
7021 Militia Hill St Nw Canton OH 44718 |
| Practice Telephone | 2168377200 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 34003395 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CARESOURCE | 942460636442 | 01 |
| OH | 0498135 | 05 | |
| OH | MEDICARE TRAVELERS RR-GA | P00332912 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609081124 | Gary J. Richardson | Pharmacist | 4644 Highway 15 W, Clay City, KY 40312 | 2007-05-10 |
| 1700945045 | Gary S. Richardson | Internal Medicine | 1418 Iroquois Pl, Ann Arbor, MI 48104-4638 | 2006-12-06 |
| 1548346521 | Gary Dean Richardson | Dentist | 8995 W Flamingo Rd Ste 100, Las Vegas, NV 89147-0441 | 2006-10-31 |
| 1740237700 | Gary L Richardson | Chiropractor | 2620 Larkspur Ln Ste V, Redding, CA 96002-1043 | 2006-05-27 |
| 1427055003 | Gary Lee Richardson | Specialist | 300 N. 4th Ave. E., Suite 150, Newton, IA 50208-3137 | 2005-06-28 |
| 1710293881 | Gary Meade Richardson | General Practice | 300 N College St, Greenville, AL 36037-2025 | 2010-08-26 |
| 1750614525 | Gary Richardson | Counselor | 1705 N Fm 179, Lubbock, TX 79416-9441 | 2009-09-11 |
| 1639327000 | Gary C Richardson | Optometrist | 404 Main St, North Little Rock, AR 72114-5328 | 2008-08-28 |
| 1467642579 | Gary Richardson | Social Worker | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2007-07-26 |
| 1407948086 | Gary Alan Richardson | Social Worker | 3210 Euclid Ave, Cleveland, OH 44115 | 2006-09-29 |
| Street Address |
400 AUSTIN AVE NW |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646-3598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871553271 | J Gregory Feczko | Pathology | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2006-03-28 |
| 1962672477 | Sommer Rachael Gunia | Surgery | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2008-03-11 |
| 1497936058 | Jason C Bryant | Nurse Anesthetist, Certified Registered | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2007-11-23 |
| 1558557546 | Michael Robert Smith | Physician Assistant | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2007-09-24 |
| 1083810329 | Northern Ohio Emergency Physicians LLP | Emergency Medicine | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2007-06-25 |
| 1811105604 | Kimberly Ann Freborg | Occupational Therapist | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2007-05-18 |
| 1689753105 | Huy Ngoc Dang | Internal Medicine | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2006-11-03 |
| 1518048362 | Radiology Associates of Canton, Inc | Radiology | 400 Austin Ave Nw, Radiology Associates of Canton-dhrac, Massillon, OH 44646-3554 | 2006-10-18 |
| 1043221336 | Paragon Pathology | Pathology | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2006-08-11 |
| 1033156104 | David R Didur | Emergency Medicine | 400 Austin Ave Nw, Massillon, OH 44646-3598 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
| Find all providers in zip 44646 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306834809 | David Jacob Heath | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2005-10-10 |
| 1376821843 | Melissa Leutz | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2011-08-01 |
| 1477868776 | Justin Rollence Andes | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2010-08-11 |
| 1942432372 | Emily Sutton Fiers | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2009-08-18 |
| 1144460288 | Erik Schmeiser | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2009-03-03 |
| 1083810329 | Northern Ohio Emergency Physicians LLP | Emergency Medicine | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2007-06-25 |
| 1720128614 | Roger Basiletti | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2007-02-08 |
| 1497813281 | David Packo | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2006-12-05 |
| 1578647665 | Lawrence N Payne | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2006-10-25 |
| 1063520732 | Gregory Smith | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2006-08-25 |
| Find all providers in MASSILLON | ||||
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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.