Individual ProviderMichael RichardsRadiologyAllopathic & Osteopathic PhysiciansPractice AddressOne Hospital Drive, Columbia, MO 65212-0001(573) 882-1026(573) 882-2259PECOS EnrollmentBased on the most recent information from CMS, provider Michael Richards does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1215974886Provider TypeIndividualFull NameRichards, MichaelCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/1/2006Last Updated4/25/2012Contact InformationPractice LocationPractice AddressOne Hospital Drive, Columbia, MO 65212-0001Phone(573) 882-1026Fax(573) 884-8876Mailing LocationMailing AddressPO Box 7687, Columbia, MO 65205-7687Phone(573) 882-2259FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2003010753MissouriProvider IdentifiersIDDescriptionIssuerID208428607DescriptionMedicaidIssuerUnlistedMissouriIDP00415741DescriptionOtherIssuerRAILROAD MEDICAREMissouriIDP00037698DescriptionOtherIssuerRR MEDICAREMissouri