RICHARD SO (NPI# 1962428557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962428557 |
| Entity Type | Individual |
| Full Name | RICHARD SO |
| Credential | MD |
| Practice Address |
20800 Westgate Mall Suite 400 Fairview Park OH 44126-1323 |
| Practice Telephone | 4403562272 |
| Practice Fax Number | 4403562299 |
| Mailing Telephone | 4403562272 |
| Mailing Fax Number | 4403562299 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2009-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
35090551 | OH | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 35090551 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2780745 | 05 | |
| OH | CARESOURCE | 340714618243 | 01 |
| OH | ANTHEM BC/BS | 000000536776 | 01 |
| Street Address |
20800 WESTGATE MALL SUITE 400 |
| City | FAIRVIEW PARK |
| State | OH |
| Zip Code | 44126-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781102 | Center for Effective Living | Speech-Language Pathologist | 20800 Westgate Mall, Ste 200, Fairview Park, OH 44126-1323 | 2005-06-22 |
| 1134587017 | Integrative Psychological Health, LLC | Clinic/Center | 20800 Westgate Mall, Suite 103, Fairview Park, OH 44126-1323 | 2016-02-05 |
| 1720474653 | Allison Widman | Occupational Therapist | 20800 Westgate Mall, Suite 500, Fairview Park, OH 44126-1323 | 2015-04-07 |
| 1770906968 | Danelle Hupp | Psychologist | 20800 Westgate Mall, Suite 200, Fairview Park, OH 44126-1323 | 2014-01-24 |
| 1306111745 | Classic Ms, LLC | Home Health | 20800 Westgate Mall, Suite 100, Fairview Park, OH 44126-1323 | 2012-03-19 |
| 1821362583 | Grady Podiatry LLC | Podiatrist | 20800 Westgate Mall, Suite 401, Fairview Park, OH 44126-1323 | 2012-02-28 |
| 1245535665 | Virginia Anne Birkhimer | Occupational Therapist | 20800 Westgate Mall, Suite 500, Fairview Park, OH 44126-1323 | 2011-01-15 |
| 1588967665 | Mark C Boyle | Occupational Therapist | 20800 Westgate Mall, Suite 500, Fairview Park, OH 44126-1323 | 2010-12-13 |
| 1821329590 | Classic Medical Staffing,llc | In Home Supportive Care | 20800 Westgate Mall, Westgate Professional Center, Suite 100, Fairview Park, OH 44126-1323 | 2010-01-20 |
| 1992930135 | Angela Fenell Grady | Podiatrist | 20800 Westgate Mall, Suite 401, Fairview Park, OH 44126-1323 | 2009-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031506 | Robert Hutman Leathers | Home Health Aide | 22371 Lorain Road, Fairview Park, OH 44126 | 2020-07-30 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1649810821 | John P Meehan | Counselor | 21139 Lorain Rd 12, Fairview, OH 44126 | 2020-01-15 |
| 1356856306 | Cynthia Takaht | Counselor | 20800 Westgate #200, Fairview Park, OH 44126 | 2017-12-12 |
| 1205383759 | Ashraf M.a Abushahin | Student in an Organized Health Care Education/Training Program | 20120 Lorain Raod, Apartment 602, Fairview Park, OH 44126 | 2016-09-01 |
| 1760853311 | Laveena A Meriga | Nurse Practitioner | 21358 Ellen Dr, Fairview Park, OH 44126 | 2015-10-08 |
| 1023425899 | Rafif Mousa | Obstetrics & Gynecology | 21500 Lorain Rd, Fairview Park, OH 44126 | 2014-07-14 |
| 1366878514 | Michael J Rudolph | Counselor | 20800 Westgate Prof Center, Suite 200, Fairview, OH 44126 | 2013-09-19 |
| 1336497924 | Dental 32 LLC | Dentist | 22640 Lorain Road, Fairview Park, OH 44126 | 2012-08-29 |
| 1871755660 | Varun Dixit | General Acute Care Hospital | 20120 Lorain Road, Apt 412, Fairview Park, OH 44126 | 2008-07-02 |
| Find all providers in zip 44126 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237968 | Greater Cleveland Pediatrics | Pediatrics | 3311 Richmond Rd, Beachwood, OH 44122-4195 | 2020-08-31 |
| 1528677085 | Mariam Khan | Pediatrics | 2277 Summit St, Columbus, OH 43202-3131 | 2020-07-30 |
| 1447879200 | Amy C Buck | Pediatrics | 30 Kim Ct W, Westerville, OH 43081-2554 | 2020-04-13 |
| 1376170381 | Kathleen Sibyl Kress Farrell | Pediatrics | 14701 Detroit Ave Ste 250, Lakewood, OH 44107-4109 | 2020-03-27 |
| 1710526702 | Rebecca K Cibik | Pediatrics | 2497 State Route 59, Kent, OH 44240 | 2019-12-23 |
| 1992354344 | Rouba Sayegh | Pediatrics | 315 Frankfort Sq, Columbus, OH 43206-1061 | 2019-09-09 |
| 1972164556 | Grace Nikolai | Pediatrics | 9000 N Main St Ste 332, Englewood, OH 45415-1185 | 2019-06-25 |
| 1376012393 | Ohio North East Health Systems, Inc | Pediatrics | 2642 State Route 5, Cortland, OH 44410-9393 | 2018-11-20 |
| 1477022606 | Anthony George Pucell | Pediatrics | 1120 Gordon Rd, Lyndhurst, OH 44124-1335 | 2018-11-16 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW PARK |
| Zip Code | 44126 |
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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.