RICHARD GENDRON MD – NPI #1720081557
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

RICHARD GENDRON is a physician located in KINGSPORT, TN. NPPES has assigned the NPI number 1720081557 to RICHARD GENDRON on May 24, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 17 years ago on Sep 16, 2009. 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 GENDRON below.

NPI Profile for
RICHARD GENDRON

NPI Number
1720081557
Enumeration Date

(more than 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RICHARD GENDRON
Credentials
MD
Primary location
2033 MEADOWVIEW LN
STE 200
KINGSPORT, TN 37660-7569
Phone: (423) 857-2260 Fax: (423) 857-2261
Mailing address
PO BOX 9
KINGSPORT, TN 37662-0009
Phone: (423) 857-2066 Fax: (423) 857-2070
Sole Proprietor
No
Updated
Identifiers

Identifiers for RICHARD GENDRON

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
MEDICAIDTN3898501
MEDICAIDTN5440943
MEDICAIDVA006713602
MEDICAIDVA6713602
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
208000000X
- Pediatrics (Primary)
VA 0101025181

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.