Provider Demographics
NPI:1730142191
Name:HEMPSTEAD, RICHARD (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:HEMPSTEAD
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 1:509 S MAIN STREET STE B
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001
Mailing Address - Country:US
Mailing Address - Phone:575-532-7000
Mailing Address - Fax:575-532-7006
Practice Address - Street 1:509 S MAIN STREET STE B
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001
Practice Address - Country:US
Practice Address - Phone:575-525-0505
Practice Address - Fax:575-647-3570
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM77-181207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM94888566Medicaid
NMNM001245OtherBCBS & HMO OF NM
NM10008617OtherLOVELACE SALUD
010009295OtherRR MEDICARE
NM201004240OtherPRESBYTERIAN SALUD
NM201004240OtherPRESBYTERIAN SALUD
C97830Medicare UPIN
NMNM001245OtherBCBS & HMO OF NM