Provider Demographics
NPI:1053380667
Name:RICHARDS, RICHARD S II (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:S
Last Name:RICHARDS
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:785 5TH AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4217
Practice Address - Street 1:120 N 7TH ST STE 101
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1795
Practice Address - Country:US
Practice Address - Phone:717-263-1220
Practice Address - Fax:717-263-6255
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418560207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7595352OtherAETNA NON-HMO
PA867633OtherMEDICARE GROUP #
PA001914298 0009Medicaid
PA25-1716306OtherDEVON
PAMD418560OtherLICENSE
PA50083245OtherCAPITAL BLUECROSS
PA25-1716306OtherHEALTHNET/TRICARE
PA1392240OtherHIGHMARK BLUESHIELD
PA6769755OtherAETNA HMO
PAG920-0141/KDM4CUOtherCAREFIRST
PA1007307260034OtherMEDICAID GROUP #
PA120420411OtherDEPT OF LABOR
PA2243909OtherUNITED HEALTHCARE (MAMSI)
PAP00841782OtherRAILROAD MEDICARE
PA3117048OtherMAMSI
PABR7354145OtherDEA
PA3117048OtherMAMSI
PAP00841782OtherRAILROAD MEDICARE
PABR7354145OtherDEA