# DR. MICAH ROSE RICHARDSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376004424
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 01095627A | IN | — |
| 207X00000X | Orthopaedic Surgery Physician | 036173831 | IL | — |
| 207X00000X | Orthopaedic Surgery Physician | DR.0077709 | CO | Yes |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | 01095627A | IN | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | 036173831 | IL | — |
| 208600000X | Surgery Physician | MD478807 | PA | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | MT217723 | PA | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 03/29/2019
- **Last updated:** 07/31/2026