Provider Demographics
NPI:1194728675
Name:RICHARDS, WILLIAM F (MD, PHD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 S 9TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2409
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:803 POPLAR ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2432
Practice Address - Country:US
Practice Address - Phone:270-752-2270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS171372085R0001X
KYTP5912085R0001X
ARE-27742085R0001X
OH35C.0017462085R0001X
KY486042085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00124133Medicaid
KY0236714OtherCIGNA
MS512I920018OtherMEDICARE
KY000000954789OtherANTHEM BCBS
LA1149632Medicaid
AR5L6185B886OtherAR BCBS
KY1134535OtherWELLCARE THROUGH PRECISION HEALTH
KY1396541OtherCOVENTRY
AR143536001Medicaid
KY7100378520Medicaid
KY7742204OtherAETNA
KY341228KYIPOtherCOVENTRY CARES THROUGH PRECISION HEALTH
KYK165950OtherMEDICARE DVK OFFICE
KYK165951OtherMEDICARE FKO OFFICE
KY50095490OtherUNIVERSITY HEALTH CARE (PASSPORT HEALTH)
LA1149632Medicaid