Provider Demographics
NPI:1477565133
Name:DARR, RICHARD B (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:B
Last Name:DARR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:444 W HARDING RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-1740
Mailing Address - Country:US
Mailing Address - Phone:937-390-3749
Mailing Address - Fax:937-399-6578
Practice Address - Street 1:444 W HARDING RD
Practice Address - Street 2:SUITE A
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-1740
Practice Address - Country:US
Practice Address - Phone:937-390-3749
Practice Address - Fax:937-399-6578
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35061830207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0924012Medicaid
OHC51997Medicare UPIN
OH0924012Medicaid