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NPI Code Detail

MEDICARE: ROBERT TIMOTHY RICHARDS MD

MEDICARE:   ROBERT TIMOTHY RICHARDS  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
1208D00000XGeneral Practice Physician35.064391OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110112520OTHEROHRAILROAD MEDICARE PIN

Other Identifiers

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

General Provider Information

NPI Number : 1518907146
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT TIMOTHY RICHARDS MD
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 833-510-4357
Fax Number :
Provider Business Practice Location Address
First Line : 974 N 21ST ST
Second Line :
City : NEWARK
State : OH
Zip : 43055-2990
Country : US
Telephone Number : 833-510-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 09/24/2025

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Directions to “ ROBERT TIMOTHY RICHARDS MD” Practice Location

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