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GWYN RICHARDSON M.D. NPI 1629130976


NPI Information

NPI: 1629130976
Provider Name: GWYN RICHARDSON, M.D.
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Individual

Specialization: Gynecologic Oncology

Organization: PHYSICIANS REFERRAL SERVICE

PECOS Registration: Yes

Address:
301 UNIVERSITY BLVD
GALVESTON, TX
ZIP 77555
Phone: (409) 747-0593
Get Directions

Gwyn Richardson, M.D. is a gynecologic oncology obstetrics gynecology in Galveston, TX with 23 years of experience. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. Gwyn Richardson, M.D. NPI is 1629130976. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:2001

The provider's business location address is:

301 UNIVERSITY BLVD
GALVESTON, TX
ZIP 77555-302
Phone: (409) 747-0593

The NPI 1629130976 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 12/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyM2046TEXASNo
2207VG0400XObstetrics & GynecologyGynecologyM2046TEXASNo
3207VX0201XObstetrics & GynecologyGynecologic OncologyM2046TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1175668601MEDICAIDTEXAS
2175668603MEDICAIDTEXAS
3175668604OTHERTEXASCSHCN MEDICAID TPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.