MEDICARE: RONALD RICHARDSON

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	332BX2000X	Oxygen Equipment & Supplies (DME)	2-5-1175	OK

General Provider Information

NPI Number	:	1083630123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD RICHARDSON

Provider Business Mailing Address
First Line	:	918 W BROADWAY ST
Second Line	:	SUITE B
City	:	COLLINSVILLE
State	:	OK
Zip	:	74021-2431
Country	:	US
Telephone Number	:	918-371-6997
Fax Number	:	918-371-6997

Provider Business Practice Location Address
First Line	:	918 W BROADWAY ST
Second Line	:	SUITE B
City	:	COLLINSVILLE
State	:	OK
Zip	:	74021-2431
Country	:	US
Telephone Number	:	918-371-6997
Fax Number	:	918-371-6997

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1508047424 — DEVINE CORPORATION
Practice Location Address:

918 W BROADWAY ST , STE B
COLLINSVILLE, OK
74021-2431

Practice Phone: 918-371-6997
Practice Fax: 918-371-6997

1376850156 — ROBERT WHEELER
Practice Location Address:

231 SAINT LOUIS RD
COLLINSVILLE, IL
62234-2431

Practice Phone: 618-346-1568
Practice Fax: 618-692-1202

1881557775 — KOA BEHAVIORAL HEALTH LLC
Practice Location Address:

11917 N 130TH EAST AVE
COLLINSVILLE, OK
74021-1103

Practice Phone: 808-348-5397
Practice Fax:

1801890454 — DR. JERRY D. PATTON DO
Practice Location Address:

1205 W MAIN ST
COLLINSVILLE, OK
74021-3114

Practice Phone: 918-938-0040
Practice Fax: 918-938-0056

1578544086 — DR. JERRY C CRAIN D.O.
Practice Location Address:

1205 W MAIN ST
COLLINSVILLE, OK
74021-3114

Practice Phone: 918-371-5885
Practice Fax: 918-371-0584

1699756957 — DR. FRED M INGRAM D.O.
Practice Location Address:

1205 W MAIN ST
COLLINSVILLE, OK
74021-3114

Practice Phone: 918-371-5885
Practice Fax: 918-371-5986

Directions to “ RONALD RICHARDSON ” 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 © 2007-2026 (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.