Basic Information
Provider Information
NPI: 1578829248
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RICHMAN
FirstName: JAMES
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 315 MARTIN LUTHER KING JR WAY
Address2:  
City: TACOMA
State: WA
PostalCode: 984054234
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3124 S 19TH ST STE C340
Address2:  
City: TACOMA
State: WA
PostalCode: 984052486
CountryCode: US
TelephoneNumber: 2534597000
FaxNumber: 2534597047
Other Information
ProviderEnumerationDate: 04/07/2012
LastUpdateDate: 04/05/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207X00000XMD60849376WAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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