Provider Demographics
NPI:1073711164
Name:RICHARDSON, WARD MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:WARD
Middle Name:MICHAEL
Last Name:RICHARDSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE CHILDREN'S HOSPITAL DRIVE
Mailing Address - Street 2:FACULTY PAVILION, ROOM 7141
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1529
Mailing Address - Country:US
Mailing Address - Phone:412-692-8735
Mailing Address - Fax:
Practice Address - Street 1:CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC
Practice Address - Street 2:FACULTY PAVILION, ROOM 7141
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1522
Practice Address - Country:US
Practice Address - Phone:412-692-8449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT184330390200000X
PAFR37210752086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric SurgeryGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program