Provider Demographics
NPI:1346341963
Name:HOWERTON, RICHARD A (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:HOWERTON
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 1:345 23RD AVE N
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1513
Mailing Address - Country:US
Mailing Address - Phone:615-342-5740
Mailing Address - Fax:615-342-5742
Practice Address - Street 1:345 23RD AVE N
Practice Address - Street 2:SUITE 300
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1513
Practice Address - Country:US
Practice Address - Phone:615-342-5740
Practice Address - Fax:615-342-5742
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD23483208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN681514OtherAETNA
TN2027347008OtherCIGNA
TN138333OtherBLUE CROSS
TN280001069OtherMEDICARE RAILROAD
TN1440009OtherUNITED HEALTHCARE
TN138333OtherBLUE CROSS
TN2027347008OtherCIGNA