Physician Compare National (NPI:1013017797)

HEALTHCARE PROVIDER: JENNIFER E. RICHARDS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1013017797
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830119353
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060112000287
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RICHARDS
	Individual professional last name
Provider First Name	JENNIFER
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SPRINGFIELD CLINIC LLP
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0547166076
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	558
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1100 CENTRE W DR
	Group Practice or individual's line 1 address
Line 2 Street Address	FAMILY PRACTICE CTR
	Group Practice or individual's line 2 address
City	SPRINGFIELD
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	627042100
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2177939960
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140148
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	141322
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ABRAHAM LINCOLN MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y