RICHARD D. DESHAZO MD – NPI #1225072838
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

RICHARD DESHAZO is a physician located in JACKSON, MS. NPPES has assigned the NPI number 1225072838 to RICHARD DESHAZO on June 15, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RA0201X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Allergy & Immunology

The NPI profile was previously updated about 11 years ago on Sep 25, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RICHARD DESHAZO below.

NPI Profile for
RICHARD D. DESHAZO

NPI Number
1225072838
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RICHARD D. DESHAZO
Credentials
MD
Primary location
878 LAKELAND DR
LB-BUILDING
JACKSON, MS 39216-4500
Phone: (601) 815-1078 Fax: (601) 984-6994
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for RICHARD DESHAZO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS0019701
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0201X
- Internal Medicine / Allergy & Immunology (Primary)
MS 15660

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.