Provider Demographics
NPI:1053422907
Name:RICHARD P. FRANKLIN, M.D., P.A.
Entity type:Organization
Organization Name:RICHARD P. FRANKLIN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-363-0044
Mailing Address - Street 1:21 CROSSROADS DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5441
Mailing Address - Country:US
Mailing Address - Phone:410-363-0044
Mailing Address - Fax:410-363-0447
Practice Address - Street 1:21 CROSSROADS DR
Practice Address - Street 2:SUITE 215
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5441
Practice Address - Country:US
Practice Address - Phone:410-363-0044
Practice Address - Fax:410-363-0447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD194891100Medicaid
KN28Medicare ID - Type Unspecified