Provider Demographics
NPI:1396783155
Name:LEVEY, RICHARD M (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:M
Last Name:LEVEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1649 HAMMON AVE
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-5023
Mailing Address - Country:US
Mailing Address - Phone:612-875-1578
Mailing Address - Fax:
Practice Address - Street 1:2767 OLIVE HWY
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6118
Practice Address - Country:US
Practice Address - Phone:530-532-8550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN302762085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN104679OtherUCARE
MN9230138OtherDAKOTA CARE
MN0418002OtherPREFERRED ONE
MN22853OtherAMERICA'S PPO
MN253806OtherMIDLANDS CHOICE INC
WI31774100Medicaid
MN029R2LEOtherBLUE CROSS
MN8F150LEOtherBLUE CROSS
MN0182528OtherDEPT OF LABOR & INDUSTRIE
WI300058524OtherRAILROAD MEDICARE WI
MN500285100Medicaid
MN300077272OtherRAILROAD MEDICARE MN
MNHP13819OtherHEALTHPARTNERS
MN8F150LEOtherBLUE CROSS
MN0418002OtherPREFERRED ONE
MN300000683Medicare PIN
MNHP13819OtherHEALTHPARTNERS
MN22853OtherAMERICA'S PPO