Nathan James Richard (NPI# 1366993883, PAC ID# 8820377633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1366993883 |
| PAC ID by PECOS | 8820377633 |
| Professional Enrollment ID | I20161118001804 |
| Full Name | Nathan James Richard |
| Organization Legal Name | DIRECT ORTHOPEDIC CARE LLC |
| Address |
3015 E Magic View Dr Suite 115 Meridian ID 83642-3743 |
| Phone Number | 2083214000 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2163648155 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130071 | ST LUKE'S NAMPA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1789 S Broadway Ave, Suite 100, Boise, ID 83706-3800 | 2083214000 | DIRECT ORTHOPEDIC CARE LLC |
| 608 W Hays St, Boise, ID 83702-5511 | 2083815970 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 610 W Hays St, Boise, ID 83702-5511 | ST LUKES CLINIC-TREASURE VALLEY LLC | |
| 701 E Parkcenter Blvd, Boise, ID 83706-6528 | 2083816500 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 | 2083214000 | DIRECT ORTHOPEDIC CARE LLC |
| 3015 E Magic View Dr, Suite 115, Meridian, ID 83642-3743 | 2083214000 | DIRECT ORTHOPEDIC CARE LLC |
| 3399 E Louise Dr, Meridian, ID 83642-5047 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Organization Legal Name | DIRECT ORTHOPEDIC CARE LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott T Ward | Physician Assistant | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Margaret B Holmes | Physician Assistant | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Mark S Williams | Sports Medicine | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Jennifer V Abraham | Physician Assistant | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Thomas W Tryon | Physician Assistant | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Scott M Astley | Physician Assistant | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Lindsey J Carmichael | Physician Assistant | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Brett J Turner | Physician Assistant | Direct Orthopedic Care LLC | 3015 E Magic View Dr, Suite 115, Meridian, ID 83642-3743 |
| Nicole K Nease | Physician Assistant | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Sean M Hassinger | Orthopedic Surgery | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Street Address |
3015 E MAGIC VIEW DR SUITE 115 |
| City | MERIDIAN |
| State | ID |
| Zip | 83642-3743 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Trump | Physician Assistant | Allied Orthopaedics LLC | 3015 E Magic View Dr, Suite 120, Meridian, ID 83642-3750 |
| Brett J Turner | Physician Assistant | Direct Orthopedic Care LLC | 3015 E Magic View Dr, Suite 115, Meridian, ID 83642-3743 |
| Tammy L Seagrave | Physical Therapy | Sawtooth Physical Therapy | 3015 E Magic View Dr, Suite 100, Meridian, ID 83642-3750 |
| Christopher George Olshavsky | Physical Therapy | Sawtooth Physical Therapy | 3015 E Magic View Dr, Suite 100, Meridian, ID 83642-3750 |
| Matthew D Woodruff | Occupational Therapy | Sawtooth Physical Therapy | 3015 E Magic View Dr, Suite 100, Meridian, ID 83642-3750 |
| Jenna Dawn Calhoun | Physical Therapy | Sawtooth Physical Therapy | 3015 E Magic View Dr, Suite 100, Meridian, ID 83642-3750 |
| Kyle L Palmer | Orthopedic Surgery | Direct Orthopedic Care LLC | 3015 E Magic View Dr, Suite 115, Meridian, ID 83642-3743 |
| April D West | Physician Assistant | Direct Orthopedic Care LLC | 3015 E Magic View Dr, Suite 115, Meridian, ID 83642-3743 |
| Christopher J Seagrave | Physical Therapy | Sawtooth Physical Therapy | 3015 E Magic View Dr, Suite 100, Meridian, ID 83642-3750 |
| Sarah Jane Martin | Physical Therapy | Sawtooth Physical Therapy | 3015 E Magic View Dr, Suite 100, Meridian, ID 83642-3750 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Slonaker | Chiropractic | 3329 W Cherry Ln, Meridian, ID 83642-1119 | |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Diana Menchaca | Psychologist, Clinical | 1711 S Millenium Way, Suite 110, Meridian, ID 83642-1504 | |
| Virginia P Haviland | Psychologist, Clinical | 1711 S Millennium Way, Suite 110, Meridian, ID 83642-1504 | |
| Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
| Angela L Hansen | Clinical Social Worker | 403 W Cherry Ln, Finding The Silver Lining, Meridian, ID 83642-1610 | |
| Matthew L Jordan | Nurse Practitioner | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Dan J Hendrickson | Pulmonary Disease | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Huiling Qi | Internal Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Robert E Shumaker | Physician Assistant | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Find all physicians in zip 83642 | |||
| City | MERIDIAN |
| Zip Code | 83642 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MERIDIAN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nathan James 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.