Provider Demographics
NPI:1558358333
Name:HAUSER, RICHARD J (DPM)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:HAUSER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:103 PARKWAY OFFICE COURT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7429
Mailing Address - Country:US
Mailing Address - Phone:919-481-3338
Mailing Address - Fax:919-467-2436
Practice Address - Street 1:103 PARKWAY OFFICE COURT
Practice Address - Street 2:SUITE 100
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7429
Practice Address - Country:US
Practice Address - Phone:919-481-3338
Practice Address - Fax:919-467-2436
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC316213EP1101X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4322136OtherAETNA
NC480026533OtherRAILROAD MEDICARE
NC2754567OtherUNITED HEALTHCARE
NC890809HMedicaid
NC0515473OtherCIGNA
NC85133OtherMEDCOST
NC0809HOtherBCBS
NC85133OtherMEDCOST
NC2432081BMedicare ID - Type Unspecified