Provider Demographics
NPI:1528323219
Name:RICHARDS ORTHOPAEDIC CENTER AND SPORTS MEDICINE LLC
Entity type:Organization
Organization Name:RICHARDS ORTHOPAEDIC CENTER AND SPORTS MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:N
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:717-860-0661
Mailing Address - Street 1:144 SOUTH 8TH STREET
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2752
Mailing Address - Country:US
Mailing Address - Phone:717-414-7798
Mailing Address - Fax:717-414-7942
Practice Address - Street 1:144 SOUTH 8TH STREET
Practice Address - Street 2:SUITE 105
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2752
Practice Address - Country:US
Practice Address - Phone:717-414-7798
Practice Address - Fax:717-414-7942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC005932213E00000X
PAPT016235225100000X
PAMD022281E332B00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty