Individual
AMY C RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HTS, OH 44122-5203
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-061869
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028336
ANTHEM
OH
01
—
000000221423
UNISON
OH
01
—
000000526092
ANTHEM
OH
05
—
0842011
—
OH
01
—
363954
WELLCARE
OH
01
—
370001953
RAILROAD MEDICARE
OH
01
—
648156
AETNA
OH
01
—
734679
BUCKEYE
OH
01
—
842011
BCMH
OH
Enumeration date
07/16/2006
Last updated
05/22/2008
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