HARRY LEE RICHARDSON JR. (NPI# 1780627356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780627356 |
| Entity Type | Individual |
| Full Name | HARRY LEE RICHARDSON JR. |
| Credential | MD |
| Practice Address |
514 10th Ave Sw Reform AL 35481 |
| Mailing Address |
Po Box 670 Reform AL 35481-0670 |
| Practice Telephone | 2053756251 |
| Practice Fax Number | 2053758199 |
| Mailing Telephone | 2053756251 |
| Mailing Fax Number | 2053758199 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 10330 | MS | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 11725 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS | 562251777 | 01 |
| MS | 00120095 | 05 | |
| MS | ALABAMA MEDICAID | 009972520 | 01 |
| MS | ALABAMA BLUE CROSS | 7306387RIC | 01 |
| MS | RAILROAD MEDICARE | P00204381 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 562 E Main St, Louisville, MS 393392742 | 6627795150 | 6627795154 |
| Street Address |
514 10TH AVE SW |
| City | REFORM |
| State | AL |
| Zip Code | 35481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790021533 | Pickens County Medical Center, Inc | Clinic/Center | 514 10th Ave Sw, Reform, AL 35481-2114 | 2012-12-26 |
| 1134440894 | Reform Rural Health Center PC | Family Medicine | 514 10th Ave Sw, Reform, AL 35481 | 2010-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003476714 | Growing In The Dark Counseling Services | Counselor | 402 3rd Ave Sw, Reform, AL 35481 | 2019-06-14 |
| 1508332446 | Pickens County Primary Care, P.c | Family Medicine | 815 7th Ave Sw, Reform, AL 35481 | 2018-10-18 |
| 1679824684 | Kristin Hamner | Occupational Therapy Assistant | 515 2nd Avenue Nw, Reform, AL 35481 | 2012-10-01 |
| 1750509394 | Meredith L Mettee | Home Health | 216 1st St S, Reform, AL 35481 | 2007-04-20 |
| 1043313661 | Landreth & Associates Inc | Optometrist | 311 1st Street, Reform, AL 35481 | 2006-09-07 |
| 1356381222 | Reform Pharmacy Inc | Pharmacy | 211 1st Street South, Reform, AL 35481 | 2006-06-07 |
| 1437626868 | Pickens County Primary Care, PC | Family Medicine | 205 4th Ave, Reform, AL 35481 | 2018-10-24 |
| 1457774200 | Cacyce Fowler | Nurse Practitioner | 108 4th Ave Sw Ste A, Reform, AL 35481 | 2014-01-30 |
| 1023303013 | Brenda Sue Robertson | Physical Therapy Assistant | 515 2nd Ave Nw, Reform, AL 35481 | 2011-06-17 |
| 1225256589 | Sheila Gail Dare | Dentist | 106 3rd Ave Se, Reform, AL 35481 | 2007-04-23 |
| Find all providers in zip 35481 | ||||
| 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 |
|---|---|---|---|---|
| 1508332446 | Pickens County Primary Care, P.c | Family Medicine | 815 7th Ave Sw, Reform, AL 35481 | 2018-10-18 |
| 1083713556 | Robert Neil Honea | Family Medicine | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2006-09-21 |
| 1255397824 | Julia Lett Boothe | Family Medicine | 108 4th Ave Sw, Reform, AL 35481-8018 | 2006-04-24 |
| 1003449869 | Jlbmd Consulting, PC | Family Medicine | 108 4th Ave Sw Ste A, Reform, AL 35481-8018 | 2020-02-19 |
| 1437626868 | Pickens County Primary Care, PC | Family Medicine | 205 4th Ave, Reform, AL 35481 | 2018-10-24 |
| 1134440894 | Reform Rural Health Center PC | Family Medicine | 514 10th Ave Sw, Reform, AL 35481 | 2010-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1043810195 | Tempus Primary Care | Family Medicine | 4101 Balmoral Dr Sw Ste B, Huntsville, AL 35801-6535 | 2020-10-28 |
| 1497354617 | Southcoast Medical Services | Family Medicine | 34463 Us Highway 98 Ste G, Lillian, AL 36549-4049 | 2020-10-19 |
| 1154929131 | Jackson Tuley Cornelison | Family Medicine | 41 Eminence Way Ste A, Pell City, AL 35128-2338 | 2020-10-13 |
| 1740895200 | Escambia County Alabama Community Hospitals, Inc | Family Medicine | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-11 |
| 1336752088 | Christy Nicole Johnson | Family Medicine | 634 Drew Dr, Hollywood, AL 35752-6556 | 2020-08-24 |
| 1053920264 | Mms Life, LLC | Family Medicine | 401 Evergreen Ave, Brewton, AL 36426-2066 | 2020-07-24 |
| 1164040986 | Marshall Primary Care | Family Medicine | 7938 Al Highway 69 Ste 350, Guntersville, AL 35976-7135 | 2020-07-08 |
| 1750907507 | Agape Medicine, LLC | Family Medicine | 42598 State Highway 75, Snead, AL 35952-6566 | 2020-06-17 |
| 1750906921 | Doctors Making Home Visits 1st Inc | Family Medicine | 922 S Perry St, Montgomery, AL 36104-5022 | 2020-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HARRY LEE RICHARDSON JR..
| 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.