Provider Demographics
NPI:1831116730
Name:STEPHEN R RICHARDS MD INC
Entity Type:Organization
Organization Name:STEPHEN R RICHARDS MD INC
Other - Org Name:WOMANKIND OB/GYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-759-6626
Mailing Address - Street 1:4030 EASTON STATION
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-6074
Mailing Address - Country:US
Mailing Address - Phone:614-759-6626
Mailing Address - Fax:614-759-8403
Practice Address - Street 1:4030 EASTON STATION
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-6074
Practice Address - Country:US
Practice Address - Phone:614-759-6626
Practice Address - Fax:614-759-8403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35043995174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHST9306261Medicare PIN
OHA426355Medicare UPIN