| Dr James Randall Richard, MD | |
|
2221 Hayes Ave, Fremont, OH 43420-2632 | |
| (419) 334-8943 | |
| Not Available |
| Full Name | Dr James Randall Richard |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2221 Hayes Ave, Fremont, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023110335 | NPI | - | NPPES |
| 0709657 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35044926 (Ohio) | Primary |
| Entity Name | Community And Rural Health Services |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1780683573 PECOS PAC ID: 5395733224 Enrollment ID: O20040430001263 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Randall Richard, MD 2221 Hayes Ave # 2, Fremont, OH 43420-2632 Ph: (419) 334-8943 | Dr James Randall Richard, MD 2221 Hayes Ave, Fremont, OH 43420-2632 Ph: (419) 334-8943 |
Mrs. Yasmin Parvez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 410 Birchard Ave, Fremont, OH 43420 Phone: 419-334-3869 Fax: 419-334-8619 | |
Mary F Bower, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1479 N River Rd, Fremont, OH 43420 Phone: 419-355-9440 Fax: 419-355-9443 | |
Dr. Philip A. Edgar, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-334-6661 Fax: 419-334-6685 | |
Dr. Howard G. Stierwalt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2575 Hayes Ave, Suite 3, Fremont, OH 43420 Phone: 419-332-7371 Fax: 419-332-7989 | |
Dr. Naheed Sufi, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-334-6657 Fax: 419-334-6637 | |
Dr. Jonathan F. Diller, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1479 N River Rd, Fremont, OH 43420 Phone: 419-332-9978 Fax: 419-332-7989 |