DR. ADAM RICHARDSON (NPI# 1821482464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821482464 |
Entity Type | Individual |
Full Name | DR. ADAM RICHARDSON |
Credential | DO, FAAD |
Practice Address |
4410 Watermelon Rd Northport AL 35473-5204 |
Practice Telephone | 2054547530 |
Practice Fax Number | 2053323714 |
Mailing Telephone | 2054547530 |
Mailing Fax Number | 2053323714 |
Enumeration Date | 2015-03-21 |
Last Update Date | 2020-06-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | DO.2171 | AL | Allopathic & Osteopathic Physicians |
N | 207N00000X | Dermatology | 5101024510 | MI | Allopathic & Osteopathic Physicians |
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
DO.2171 | AL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1900 10th Ave Ste 100, Columbus, GA 319013601 | 2054547530 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659676336 | Adam Geoffrey Richardson | Physical Therapist | 401 Baptist Dr Ste 306, Baptist Pt-madison, Madison, MS 39110-2012 | 2011-01-11 |
1134448608 | Adam D Richardson | Dentist | 2017 S Western Ave, Marion, IN 46953-2824 | 2010-05-24 |
1891780391 | Adam A Richardson | Podiatrist | 13219 Research Blvd Ste E, Austin, TX 78750-3231 | 2005-09-12 |
1801413844 | Adam Lee Richardson | Surgery | Prisma Health Medical Group General Surgery, 2 Medical Park, Ste 300, Columbia, SC 29203 | 2020-06-25 |
1407485147 | Adam Derrick Richardson | Student in an Organized Health Care Education/Training Program | 1215 Lee Street, Mailbox Number 800499, Charlottesville, VA 22908 | 2020-04-04 |
1679073167 | Adam H Richardson | Dentist | 700 Childrens Dr, Columbus, OH 43205-2639 | 2018-02-20 |
1790147056 | Adam Christopher Richardson | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2016-03-25 |
1285049577 | Adam Richardson | Nurse Practitioner | 12234 Panama City Beach Pkwy, Ste C, Panama City Beach, FL 32407-2726 | 2014-06-25 |
1265639215 | Adam Neal Richardson | Occupational Therapist | 10 Bernadette St, Caribou, ME 04736-2038 | 2007-07-02 |
Street Address |
4410 WATERMELON RD |
City | NORTHPORT |
State | AL |
Zip Code | 35473-5204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669430872 | Karen Dietrich Walker | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2006-05-04 |
1598381097 | Shelby S Warren | Nurse Practitioner | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2020-06-19 |
1619462843 | Alicia O Holloway | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2018-06-29 |
1770993198 | Emily Gant Watson | Nurse Practitioner | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2014-05-07 |
1912267550 | Staci Brown Hardwick | Nurse Practitioner | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2012-05-16 |
1154331791 | Cynthia C Lucy | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2006-08-08 |
1114968443 | Michael L Johnson | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2006-06-09 |
1265472195 | Robert D Griffith | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2006-06-08 |
1275573107 | Charles E Gambla | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2006-06-08 |
1710928296 | David B Jackson | Dermatology | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2006-06-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
Find all providers in zip 35473 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538433602 | Southeastern Skin Cancer & Dermatology | Dermatology | 124 County Road 3401, Haleyville, AL 35565-6959 | 2012-03-06 |
1588851125 | Tony Adar | Dermatology | 2100 16th Ave S Ste 202, Birmingham, AL 35205 | 2007-09-27 |
1366583882 | Albert Earl Rivera | Dermatology | 8331 Madison Blvd, Suite 300, Madison, AL 35758-2070 | 2007-02-08 |
1679658256 | R. Gordon Mowry, M.d. | Dermatology | 100 Memorial Hospital Dr Ste 2b, Mobile, AL 36608-1129 | 2006-10-25 |
1952410177 | George G Tisdale | Dermatology | 425 Montgomery Hwy, Birmingham, AL 35216-1805 | 2006-08-30 |
1174565493 | Adam C. Esser | Dermatology | 2100 16th Ave S, Suite 202, Birmingham, AL 35205-5021 | 2006-06-12 |
1255320115 | Julian Murphree Thomas | Dermatology | 3940 Montclair Rd, Suite 410, Birmingham, AL 35213-2427 | 2005-10-13 |
1346855327 | Forefront Dermatology, S.c. | Dermatology | 2471 Helton Dr, Florence, AL 35630-1067 | 2020-09-15 |
1538773775 | Advanced Dermatology of Alabama, Inc. | Dermatology | 286 Mitylene Park Dr, Montgomery, AL 36117-3548 | 2020-09-04 |
1194289181 | Forefront Dermatology, S.c. | Dermatology | 202 Rock Creek Pkwy, Fairhope, AL 36532-3349 | 2019-01-24 |
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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.