Ida M Richmond (NPI# 1669523403, PAC ID# 4284769274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1669523403 |
| PAC ID by PECOS | 4284769274 |
| Professional Enrollment ID | I20100316000516 |
| Full Name | Ida M Richmond |
| Address |
5217 Elderbank Dr Charlotte NC 28216-1917 |
| Phone Number | 7043926648 |
| Gender | F |
| Graduation Year | 1981 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5217 Elderbank Dr, Charlotte, NC 28216-1917 | 7043926648 |
| Street Address |
5217 ELDERBANK DR |
| City | CHARLOTTE |
| State | NC |
| Zip | 28216-1917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley C Mills | Clinical Social Worker | 10130 Perimeter Pkwy, Suite 226, Charlotte, NC 28216-0197 | |
| Rachael A Wruble | Optometry | 6801 Northlake Mall Dr, Suite 253, Charlotte, NC 28216-0757 | |
| Leslie Macklin | Chiropractic | 9325 Ctr Lake Dr, Suite 150, Charlotte, NC 28216-0785 | |
| Leon D Knight | Physical Therapy | 10030 Callabridge Ct, Suite D, Charlotte, NC 28216-2421 | |
| Theresa Alice Bullock | Clinical Social Worker | Onsite Care Pllc | 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2465 |
| Shantai Mcdermott | Nurse Practitioner | Onsite Care Pllc | 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2465 |
| Veronica Nieves | Clinical Social Worker | Onsite Care Pllc | 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2465 |
| Eva Krug | Clinical Social Worker | Onsite Care Pllc | 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2465 |
| Kenya Lakisha Cruz | Nurse Practitioner | Onsite Care Pllc | 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2465 |
| Heart Song Fowler Foxworth | Clinical Social Worker | Onsite Care Pllc | 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2465 |
| Find all physicians in zip 28216 | |||
| City | CHARLOTTE |
| Zip Code | 28216 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | CHARLOTTE + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Ida M Richmond.
| 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.