Healthcare Provider Details

I. General information

NPI: 1396755906
Provider Name (Legal Business Name): RICHARD P. BELCH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 12/22/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

561 W CENTRAL AVE
DELAWARE OH
43015-1410
US

IV. Provider business mailing address

# L-3401
COLUMBUS OH
43260-3401
US

V. Phone/Fax

Practice location:
  • Phone: 740-615-1324
  • Fax: 740-615-1344
Mailing address:
  • Phone: 740-615-1324
  • Fax: 740-615-1344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35-061268
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35.061268
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number35-061268
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: