MEDICARE: DR. RICHARD ALAN DEVORE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	150885	OR
2	207Y00000X	Otolaryngology Physician	35-058294	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	040015410	OTHER	OH	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356344717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD ALAN DEVORE MD

Provider Business Mailing Address
First Line	:	610 W MAIN ST
Second Line	:
City	:	WILMINGTON
State	:	OH
Zip	:	45177-2125
Country	:	US
Telephone Number	:	937-283-9845
Fax Number	:	937-283-9839

Provider Business Practice Location Address
First Line	:	630 W MAIN ST STE 300
Second Line	:
City	:	WILMINGTON
State	:	OH
Zip	:	45177-2172
Country	:	US
Telephone Number	:	937-283-9800
Fax Number	:	937-283-9794

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	09/10/2020

Similar Medicare Providers

1881133106 — CHEYENNE M GASAWAY NP
Practice Location Address:

630 W MAIN ST STE 300
WILMINGTON, OH
45177-2172

Practice Phone: 937-283-9707
Practice Fax: 937-283-9708

1508891698 — ATLANTIC MEDICAL EQUIPMENT
Practice Location Address:

4536 TECHNOLOGY DR , SUITE 4
WILMINGTON, NC
28405-2172

Practice Phone: 910-791-6442
Practice Fax: 866-278-1293

1457539264 — CAPE FEAR CASE MANAGEMENT & COUNSELING SERVICES LLC
Practice Location Address:

4536 TECHNOLOGY DR , SUITE 2
WILMINGTON, NC
28405-2172

Practice Phone: 910-620-4121
Practice Fax: 910-632-9491

1982902227 — CAPE FEAR CASE MANAGEMENT & COUNSELING SERVICES, LLC
Practice Location Address:

4536 TECHNOLOGY DR , SUITE 2
WILMINGTON, NC
28405-2172

Practice Phone: 910-399-6184
Practice Fax: 910-399-6186

1184587909 — LYDIA KITTNER
Practice Location Address:

75 HALE ST
WILMINGTON, OH
45177-2104

Practice Phone: 937-382-1621
Practice Fax:

1952265332 — SYMBA PEREZ
Practice Location Address:

238 PRAIRIE AVE
WILMINGTON, OH
45177-1868

Practice Phone: 937-751-5130
Practice Fax:

Directions to “ DR. RICHARD ALAN DEVORE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.