| Dr Jason P Richards, MD | |
|
2240 E Center St, Pocatello, ID 83201 | |
| (208) 233-8344 | |
| (208) 233-6983 |
| Full Name | Dr Jason P Richards |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 2240 E Center St, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902081813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | A120201 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason P Richards, MD 393 E Walnut St, Phr Group Provider Enrollment Unit, 3rd Fl, Pasadena, CA 91188-0001 Ph: (626) 405-7914 | Dr Jason P Richards, MD 2240 E Center St, Pocatello, ID 83201 Ph: (208) 233-8344 |
Richard A Wathne, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2240 E Center St, Pocatello, ID 83201 Phone: 208-233-2100 Fax: 208-233-3146 | |
Dr. Ryan Ned Miller, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Hospital Way Ste 710, Pocatello, ID 83201 Phone: 208-235-4263 Fax: 208-233-4268 | |
Dr. Jeffrey Dee Stucki, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Hospital Way Ste 710, Pocatello, ID 83201 Phone: 208-234-4263 Fax: 208-233-4268 | |
Gregory M Ford, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 950 Hospital Way, Ste A, Pocatello, ID 83201 Phone: 208-478-4522 Fax: 208-712-6868 | |
Stephen M Hansen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 950 Hospital Way Ste A, Pocatello, ID 83201 Phone: 208-478-4522 Fax: 208-712-6868 | |
Aaron John Altenburg, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 285 Vista Drive, Pocatello, ID 83201 Phone: 208-233-8344 Fax: 208-233-6983 | |
Dr. Kenneth E Newhouse, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 560 Memorial Dr, Pocatello, ID 83201 Phone: 208-234-1960 Fax: 208-233-5033 |