Provider Demographics
NPI:1518934173
Name:RICHMAN, STEVEN A (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:RICHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:A
Other - Last Name:LEEDS-RICHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4389 MEDINA RD STE 2002F
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1388
Mailing Address - Country:US
Mailing Address - Phone:330-564-3473
Mailing Address - Fax:
Practice Address - Street 1:4389 MEDINA RD STE 2002F
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1388
Practice Address - Country:US
Practice Address - Phone:330-564-3473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35075905207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2216962Medicaid
OH368OtherSUMMA
OH000000291503OtherANTHEM
OHQ01928EOtherHOMETOWN HEALTH NETWORK
P00172079Medicare PIN
OH000000291503OtherANTHEM
OH368OtherSUMMA