Timothy Alan Richardson (NPI# 1508985417, PAC ID# 5890865695) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1508985417 |
| PAC ID by PECOS | 5890865695 |
| Professional Enrollment ID | I20120904000284 |
| Full Name | Timothy Alan Richardson |
| Organization Legal Name | WICHITA UROLOGY GROUP PA |
| Address |
7570 W 21st St N Suite 1014a Wichita KS 67205-1764 |
| Phone Number | 3166366100 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 7214904499 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170123 | WESLEY MEDICAL CENTER |
| 170196 | KANSAS SPINE & SPECIALTY HOSPITAL, LLC |
| 170197 | KANSAS MEDICAL CENTER LLC |
| 170150 | SOUTH CENTRAL KS MED CENTER |
| 170175 | WESTERN PLAINS MEDICAL COMPLEX |
| Address | Phone | Organization |
|---|---|---|
| 2626 N Webb Rd, Wichita, KS 67226-8110 | 3166366100 | WICHITA UROLOGY GROUP PA |
| 7570 W 21st St N, Suite 1014a, Wichita, KS 67205-1764 | 3166366100 | WICHITA UROLOGY GROUP PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 95% |
| Organization Legal Name | WICHITA UROLOGY GROUP PA |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Poindexter | Nurse Practitioner | Wichita Urology Group Pa | 2626 N Webb Rd, Wichita, KS 67226-8110 |
| Gerald L Albert | Urology | Wichita Urology Group Pa | 7570 W 21st St, Wichita, KS 67205-1764 |
| Jeffrey Spencer Davis | Urology | Wichita Urology Group Pa | 2626 N Webb Rd, Wichita, KS 67226-8110 |
| George F Zakharia | Urology | Wichita Urology Group Pa | 2626 N Webb Rd, Wichita, KS 67226-8110 |
| Landon Blake Snell | Physician Assistant | Wichita Urology Group Pa | 7570 W 21st St N, Suite 1014a, Wichita, KS 67205-1764 |
| Gregory Byrd | Urology | Wichita Urology Group Pa | 2626 N Webb Rd, Wichita, KS 67226-8110 |
| Richard E Steinberger | Urology | Wichita Urology Group Pa | 2626 N Webb Rd, Wichita, KS 67226-8110 |
| Fadi Nabih Joudi | Urology | Wichita Urology Group Pa | 7570 W 21st St N, Suite 1014a, Wichita, KS 67205-1764 |
| Shandi Mae Husen | Nurse Practitioner | Wichita Urology Group Pa | 2626 N Webb Rd, Wichita, KS 67226-8110 |
| Nicholas L Kraus | Nurse Practitioner | Wichita Urology Group Pa | 2626 N Webb Rd, Wichita, KS 67226-8110 |
| Street Address |
7570 W 21ST ST N SUITE 1014A |
| City | WICHITA |
| State | KS |
| Zip | 67205-1764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirk A Turpin | Chiropractic | Elite Sports Chiropractic LLC | 7570 W 21st St N, Suite 1006a, Wichita, KS 67205-1773 |
| Landon Blake Snell | Physician Assistant | Wichita Urology Group Pa | 7570 W 21st St N, Suite 1014a, Wichita, KS 67205-1764 |
| Fadi Nabih Joudi | Urology | Wichita Urology Group Pa | 7570 W 21st St N, Suite 1014a, Wichita, KS 67205-1764 |
| Heidi D Larison | Family Medicine | Wichita Primary Care LLC | 7570 W 21st St N, Suite 1010a, Wichita, KS 67205-1764 |
| Jon D Messenger | Chiropractic | Elite Sports Chiropractic LLC | 7570 W 21st St N, Suite 1006a, Wichita, KS 67205-1773 |
| Jonathan Andrew Jensen | Urology | Wichita Urology Group Pa | 7570 W 21st St N, Suite 1014a, Wichita, KS 67205-1764 |
| Crystal L Grimes | Physician Assistant | Wichita Primary Care LLC | 7570 W 21st St N, Suite 1010a, Wichita, KS 67205-1764 |
| Philippe Nabbout | Urology | Wichita Urology Group Pa | 7570 W 21st St N, Suite 1014a, Wichita, KS 67205-1764 |
| Christopher L Kirby | Chiropractic | Elite Sports Chiropractic LLC | 7570 W 21st St N, Suite 1006a, Wichita, KS 67205-1773 |
| Elizabeth A Bryant | Clinical Social Worker | 7570 W 21st St N, Bldg 1050 Suite E, Wichita, KS 67205-1734 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Basit Ali Malik | Internal Medicine | 2260 N Ridge Rd, Suite 210, Wichita, KS 67205-1130 | |
| Kelley G Arnold | Chiropractic | 2260 N Ridge Rd, Suite 200, Wichita, KS 67205-1142 | |
| Joseph T Poggi | Plastic and Reconstructive Surgery | 3510 N Ridge Rd, Suite 100, Wichita, KS 67205-1210 | |
| Donald B Scrafford | Ophthalmology | Grene Vision Group LLC | 3607 N Rigde Rd, Wichita, KS 67205-1214 |
| Christopher B Means | Optometry | Grene Vision Group LLC | 3607 N Rigde Rd, Wichita, KS 67205-1214 |
| Robert Michael Murphy | Optometry | Grene Vision Group LLC | 3607 N Rigde Rd, Wichita, KS 67205-1214 |
| Bethany J King | Otolaryngology | Kansas Surgical Arts LLC | 3460 N Ridge Rd, Suite 160, Wichita, KS 67205-1223 |
| Ashleigh Eddelbuttel | Qualified Audiologist | Wichita Surgical Specialists Pa | 3460 N Ridge Rd, Suite 120, Wichita, KS 67205-1223 |
| Janelle R Petrisor | Physical Therapy | Advanced Pt LLC | 3460 N Ridge Rd, 80 Advanced Pt Aquatic Rehab, Wichita, KS 67205-1223 |
| Addie Tennille Greb | Nurse Practitioner | Wichita Surgical Specialists Pa | 3460 N Ridge Rd, Suite 120, Wichita, KS 67205-1223 |
| Find all physicians in zip 67205 | |||
| City | WICHITA |
| Zip Code | 67205 |
| Specialty | UROLOGY |
| City + Specialty | WICHITA + UROLOGY |
Please comment or provide details below to improve the information on Timothy Alan Richardson.
| 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.