Kenrick Sylvester Richardson (NPI# 1295736049, PAC ID# 9436140027) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1295736049 |
| PAC ID by PECOS | 9436140027 |
| Professional Enrollment ID | I20040521000755 |
| Full Name | Kenrick Sylvester Richardson |
| Organization Legal Name | KANDG DEDICATED LONG-TERM CARE ASSOCIATES LLC |
| Address |
707 S Edwin C Moses Blvd Dayton OH 45417-3462 |
| Phone Number | 5135088945 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0345572244 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360051 | MIAMI VALLEY HOSPITAL |
| 360134 | GOOD SAMARITAN HOSPITAL |
| 360179 | BETHESDA NORTH |
| Address | Phone | Organization |
|---|---|---|
| 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 5138534684 | TRIHEALTH G LLC |
| 375 Dixmyth Ave C, Cincinnati, OH 45220-2475 | 5138534685 | TRIHEALTH G LLC |
| 379 Dixmyth Ave, Cincinnati, OH 45220-2475 | 5132467000 | TRIHEALTH G LLC |
| 9070 Winton Rd, Cincinnati, OH 45231-3828 | 5132467000 | TRIHEALTH G LLC |
| 30 E Apple St, Suite 3300, Dayton, OH 45409-2939 | 9372088394 | MVHE INC |
| 707 S Edwin C Moses Blvd, Dayton, OH 45417-3462 | 5135088945 | KANDG DEDICATED LONG-TERM CARE ASSOCIATES LLC |
| 1 Medical Ctr Dr, Middletown, OH 45005-2584 | 5137054754 | MVHE INC |
| Organization Legal Name | KANDG DEDICATED LONG-TERM CARE ASSOCIATES LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Evens Gregoire Charles | Internal Medicine | Kandg Dedicated Long-term Care Associates LLC | 707 S Edwin C Moses Blvd, Dayton, OH 45417-3462 |
| Street Address |
707 S EDWIN C MOSES BLVD |
| City | DAYTON |
| State | OH |
| Zip | 45417-3462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy B Sorg | Infectious Disease | Knd Development 59 LLC | 707 S Edwin C Moses Blvd, Dayton, OH 45417-3462 |
| Paul Evens Gregoire Charles | Internal Medicine | Kandg Dedicated Long-term Care Associates LLC | 707 S Edwin C Moses Blvd, Dayton, OH 45417-3462 |
| Uchendu Azodo | Diagnostic Radiology | Rapid Radiology Inc | 707 S Edwin C Moses Blvd, Dayton, OH 45417-3462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas L Retzios | Podiatry | 601 S Edwin C Moses Blvd, Suite A, Dayton, OH 45417-3124 | |
| Wayne R Anable | Psychiatry | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Fl 1, Dayton, OH 45417-3424 |
| Ellen W Ballerene | Psychiatry | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Fl 1, Dayton, OH 45417-3424 |
| Stephanie E Ackner | Psychiatry | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Fl 1, Dayton, OH 45417-3424 |
| Kandi K Brelsford | Clinical Social Worker | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Fl 1, Dayton, OH 45417-3424 |
| Bertilia M Toca | Psychiatry | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Fl 1, Dayton, OH 45417-3424 |
| Toni R Peters | Nurse Practitioner | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Fl 1, Dayton, OH 45417-3424 |
| Luis A Tellez | Family Practice | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 |
| Sehba N Siddiqi | Psychiatry | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 |
| Katherine E L Allen | Nurse Practitioner | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, 4th Floor Nw Bldg, Dayton, OH 45417-3424 |
| Find all physicians in zip 45417 | |||
| City | DAYTON |
| Zip Code | 45417 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DAYTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenrick Sylvester 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.