Provider Demographics
NPI:1679598429
Name:RICHARDSON, CURTIS J (MD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:J
Last Name:RICHARDSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:901 HEARTLAND RD
Mailing Address - Street 2:SUITE 2800
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-6200
Mailing Address - Country:US
Mailing Address - Phone:816-271-1225
Mailing Address - Fax:816-271-1217
Practice Address - Street 1:901 HEARTLAND RD
Practice Address - Street 2:SUITE 2800
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-6200
Practice Address - Country:US
Practice Address - Phone:816-271-1225
Practice Address - Fax:816-271-1217
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2017-10-26
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Provider Licenses
StateLicense IDTaxonomies
MO101699207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO465447OtherCHILDRENS MERCY FAMILY HEALTH
176192OtherHEALTHLINK
MO18400024OtherBLUE CROSS BLUE SHIELD
P00036186OtherRAILROAD MEDICARE
KS100136780BMedicaid
602310OtherFIRSTGUARD
10001236101OtherCOMMUNITY HEALTH PLAN
4570858OtherAETNA
44054528964506V011OtherTRICARE/CHAMPUS
MO18400024OtherBLUE CROSS BLUE SHIELD
44054528964506V011OtherTRICARE/CHAMPUS
10001236101OtherCOMMUNITY HEALTH PLAN