Healthcare Provider Details

I. General information

NPI: 1053380667
Provider Name (Legal Business Name): RICHARD S RICHARDS II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 03/07/2023
Certification Date: 09/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N 7TH ST STE 101
CHAMBERSBURG PA
17201-1795
US

IV. Provider business mailing address

785 5TH AVENUE SUITE 3
CHAMBERSBURG PA
17201-4232
US

V. Phone/Fax

Practice location:
  • Phone: 717-263-1220
  • Fax: 717-263-6255
Mailing address:
  • Phone: 717-263-9555
  • Fax: 717-217-4217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD418560
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberMD418560
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: