MEDICARE: WILLIAM F RICHARDS M.D., PHD

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	2085R0001X	Radiation Oncology Physician	48604	KY
2	2085R0001X	Radiation Oncology Physician	TP591	KY
3	2085R0001X	Radiation Oncology Physician	E-2774	AR
4	2085R0001X	Radiation Oncology Physician	MD61588028	WA
5	2085R0001X	Radiation Oncology Physician	35C.001746	OH
6	2085R0001X	Radiation Oncology Physician	17137	MS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	512I920018	OTHER	MS	MEDICARE
13	K165950	OTHER	KY	MEDICARE DVK OFFICE
14	K165951	OTHER	KY	MEDICARE FKO OFFICE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0236714	OTHER	KY	CIGNA
4	000000954789	OTHER	KY	ANTHEM BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	5L6185B886	OTHER	AR	AR BCBS
7	1134535	OTHER	KY	WELLCARE THROUGH PRECISION HEALTH
8	1396541	OTHER	KY	COVENTRY
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	7742204	OTHER	KY	AETNA
12	341228KYIP	OTHER	KY	COVENTRY CARES THROUGH PRECISION HEALTH
15	50095490	OTHER	KY	UNIVERSITY HEALTH CARE (PASSPORT HEALTH)

General Provider Information

NPI Number	:	1194728675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM F RICHARDS M.D., PHD

Provider Business Mailing Address
First Line	:	844 N 5TH AVE
Second Line	:
City	:	SEQUIM
State	:	WA
Zip	:	98382-3045
Country	:	US
Telephone Number	:	360-683-9895
Fax Number	:	360-582-2820

Provider Business Practice Location Address
First Line	:	3700 SOUTHERN BLVD STE 101
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45429-1265
Country	:	US
Telephone Number	:	937-395-8646
Fax Number	:	937-281-3812

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	10/15/2025

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