Provider Demographics
NPI:1275794398
Name:RICHINS, SCOTT WHITEAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:WHITEAR
Last Name:RICHINS
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 1:1227 LAKE PLAZA DR STE B
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-7402
Mailing Address - Country:US
Mailing Address - Phone:801-913-1315
Mailing Address - Fax:
Practice Address - Street 1:1227 LAKE PLAZA DR STE B
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-7402
Practice Address - Country:US
Practice Address - Phone:801-913-1315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0051158207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology