John W Richard (NPI# 1124047717, PAC ID# 2062316102) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124047717 |
| PAC ID by PECOS | 2062316102 |
| Professional Enrollment ID | I20031121000012 |
| Full Name | John W Richard |
| Organization Legal Name | BLUEGRASS EXTENDED CARE |
| Address |
853 Lexington Rd Harrodsburg KY 40330-1260 |
| Phone Number | 8593387646 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC PSYCHIATRY |
| Group Practice PAC ID | 4688832090 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180103 | BAPTIST HEALTH LEXINGTON |
| 180067 | UNIVERSITY OF KENTUCKY HOSPITAL |
| 180143 | SAINT JOSEPH EAST |
| 180010 | SAINT JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 8593387646 | BLUEGRASS EXTENDED CARE |
| 853 Lexington Rd, Harrodsburg, KY 40330-1260 | 8593387646 | BLUEGRASS EXTENDED CARE |
| 989 Governors Ln, Suite 240, Lexington, KY 40513-1175 | 8593383958 | BLUEGRASS EXTENDED CARE |
| Organization Legal Name | BLUEGRASS EXTENDED CARE |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabrielle Vanessa Follmer | Nurse Practitioner | Bluegrass Extended Care | 100 Sparks Ave, Nicholasville, KY 40356-1004 |
| Deshana A Collett | Physician Assistant | Bluegrass Extended Care | 642 N 3rd St, Danville, KY 40422-1125 |
| Mary D Carman | Nurse Practitioner | Bluegrass Extended Care | 853 Lexington Rd, Harrodsburg, KY 40330-1260 |
| Katherine R Waugh | Nurse Practitioner | Bluegrass Extended Care | 1043 Brooklyn Blvd, Berea, KY 40403-1090 |
| Street Address |
853 LEXINGTON RD |
| City | HARRODSBURG |
| State | KY |
| Zip | 40330-1260 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary D Carman | Nurse Practitioner | Bluegrass Extended Care | 853 Lexington Rd, Harrodsburg, KY 40330-1260 |
| Jacqueline Cassell | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 853 Lexington Rd, Harrodsburg, KY 40330-1260 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Myron Dartt | Family Medicine | Richard M. Dartt, Psc | 106 Commercial Dr, Harrodsburg, KY 40330-1084 |
| Mary A Smith | Nurse Practitioner | Richard M. Dartt, Psc | 106 Commercial Dr, Harrodsburg, KY 40330-1084 |
| Stephen Kirk Hall | Nurse Practitioner | Richard M. Dartt, Psc | 106 Commercial Dr, Harrodsburg, KY 40330-1084 |
| Rebecca L Durbin | Physician Assistant | Richard M. Dartt, Psc | 106 Commercial Dr, Harrodsburg, KY 40330-1084 |
| Rebecca S Harris | Optometry | Danville Eye Center, Pllc | 125 Collin Dr, Harrodsburg, KY 40330-1168 |
| Jeffrey Klosterman | Optometry | Danville Eye Center, Pllc | 125 Collin Dr, Harrodsburg, KY 40330-1168 |
| Jonna L Benedict | Physical Therapy | 1010 Colton Dr, Harrodsburg, KY 40330-1170 | |
| Margorie W Gill | Clinical Social Worker | Children and Family Counseling Associates | 100 S Main St, Harrodsburg, KY 40330-1633 |
| Susan C Turner | Psychologist, Clinical | Children and Family Counseling Associates | 100 S Main St, Harrodsburg, KY 40330-1633 |
| Tammy Gwyn Hoskins | Optometry | 201 S Main St, Harrodsburg, KY 40330-1634 | |
| Find all physicians in zip 40330 | |||
| City | HARRODSBURG |
| Zip Code | 40330 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HARRODSBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John W Richard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.