Richard So is a Sports Medicine in Fairview Park, Ohio. Richard So practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Richard So is 1962428557. The last update date is 2009-01-10.
Richard So's current location address is 20800 Westgate Mall, Fairview Park, Ohio. You can contact this provider via phone number 4403562272 and fax number 4403562299. The mailing address for Richard So is 20800 Westgate Mall, Fairview Park, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard So |
|---|---|
| Address | 20800 Westgate Mall, Fairview Park, Ohio |
| Phone Number | 4403562272 |
| Fax Number | 4403562299 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962428557 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2009-01-10 |
Provider Mailing Address Detail
| Address | 20800 Westgate Mall |
|---|---|
| City | Fairview Park |
| State | Ohio (OH) |
| Post Code | 441261323 |
| Phone Number | 4403562272 |
| Fax Number | 4403562299 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Rs0010X |
| Licence No | 35090551 |
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Definition: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and exp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 536776 | OH | ANTHEM BC/BS | |
| 340714618243 | OH | CARESOURCE | |
| 2780745 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Richard So?
The Richard So has been issued the NPI (National Provider Identifier) 1962428557 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Richard So is located?
The Richard So is situated at the following address: 20800 Westgate Mall, Fairview Park, OH, 441261323.
What is the Richard So's specialty and taxonomy code?
The Richard So's specialty is Sports Medicine, and the corresponding taxonomy code is 207Rs0010X.
On what date did the Richard So receive its 1962428557 assignment from the Centers for Medicare & Medicaid Services?
The Richard So was assigned its 1962428557 by the Centers for Medicare & Medicaid Services on 2006-07-15.
As of what date was the information pertaining to Richard So, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard So, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-01-10.
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