Provider Demographics
NPI:1265641781
Name:FRENCH, RICHARD SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SCOTT
Last Name:FRENCH
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 1:304 COPPER BAY RD
Mailing Address - Street 2:
Mailing Address - City:NORDMAN
Mailing Address - State:ID
Mailing Address - Zip Code:83848-9744
Mailing Address - Country:US
Mailing Address - Phone:208-443-3307
Mailing Address - Fax:
Practice Address - Street 1:1250 E ALMOND AVE
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637
Practice Address - Country:US
Practice Address - Phone:208-443-3307
Practice Address - Fax:208-443-3307
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00030521207P00000X
IDM-6149207Q00000X
HIMD-11937207Q00000X
CAG53120207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500622451Medicaid
MT1265641781Medicaid
ID1265641781Medicaid
WA1265641781Medicaid
A52488Medicare UPIN
MT1265641781Medicaid