Provider Demographics
NPI:1346417433
Name:RICHARD N JAMES
Entity Type:Organization
Organization Name:RICHARD N JAMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:N
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:620-221-4443
Mailing Address - Street 1:1230 E 6TH AVE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-3143
Mailing Address - Country:US
Mailing Address - Phone:620-221-4443
Mailing Address - Fax:
Practice Address - Street 1:1230 E 6TH AVE
Practice Address - Street 2:SUITE 2A
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-3143
Practice Address - Country:US
Practice Address - Phone:620-221-4443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12-00222213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS5993900001Medicare NSC