Look up the most recent NPI and PECOS records

John S Richardson

Anesthesiology

Allopathic & Osteopathic Physicians

4502 Medical Dr, San Antonio, TX 78229-4402

PECOS Enrollment

Based on the most recent information from CMS, provider John S Richardson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1295758977
Provider Type
Individual
Full Name
Richardson, John S
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/25/2006
Last Updated
11/4/2011

Contact Information

Practice Location

4502 Medical Dr, San Antonio, TX 78229-4402

(210) 358-4000

(210) 358-4911

Mailing Location

7703 Floyd Curl Dr, Mc7977, San Antonio, TX 78229-3901

(210) 450-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License E4633 Texas

Provider Identifiers

ID	Description	Issuer
ID 115459306	Description Medicaid	Issuer Unlisted Texas

John S Richardson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Archer, Thomas L.

Kosigi, Krishna Chaitanya Sharoff

Frohm, Robert Max

Valle, Jose Julian

Andrews, John J

Fleming, Christine L.

Bourgeois, James Carson

Zentner, Katharine Holahan

Gutierrez, Olivia

Campbell, Carol