# GAINES E RICHARDSON

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

## Provider details

- **NPI number:** 1841349917
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036-102494 | IL | — |
| 207Q00000X | Family Medicine Physician | 38784 | WI | — |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | 38784-20 | WI | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 03/03/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1017410 | PHYSICIANS PLUS | — |
| 01 | — | 11565 | DEAN HEALTH PLAN | — |
| 01 | — | 32399400 | HIRSP | — |
| 05 | — | 32399400 | — | WI |
| 01 | — | 390808509 | WPS | — |
| 01 | — | 39080850991 | UNITY | — |
| 01 | — | 54979 | HEALTH ALLIANCE MEDICAL | — |
| 01 | — | 690004890 | MEDIARE RAILROAD | — |
| 01 | — | 80138944 | MEDICARE RAILROAD | — |
| 01 | — | 90002361 | WEA INS | — |