Provider Demographics
NPI:1275556995
Name:RASPER, RICHARD J (DPM)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:J
Last Name:RASPER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 SEASONS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44224
Mailing Address - Country:US
Mailing Address - Phone:330-662-5667
Mailing Address - Fax:330-926-5858
Practice Address - Street 1:231 SEASONS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44224
Practice Address - Country:US
Practice Address - Phone:330-662-5667
Practice Address - Fax:330-926-5858
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36002645213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0811410Medicaid
OHH192160Medicare PIN
OHT81788Medicare UPIN
OH0811410Medicaid
OH0679238Medicare PIN
OHT81788Medicare UPIN
OH0679239Medicare PIN
OHRA0679237Medicare ID - Type UnspecifiedMEDICARE - INDIVIDUAL