Provider Demographics
NPI:1700996188
Name:SAXBY, RICHARD DONALD III (DPM)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:DONALD
Last Name:SAXBY
Suffix:III
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4209
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-4209
Mailing Address - Country:US
Mailing Address - Phone:740-532-3611
Mailing Address - Fax:740-532-5077
Practice Address - Street 1:2004 SOUTH 4TH STREET
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638
Practice Address - Country:US
Practice Address - Phone:740-532-3611
Practice Address - Fax:740-532-5077
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36002873S213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000041976OtherANTHEM KY
31143306900OtherWORKERS COMP
KYG321OtherBCBS
8205130OtherCIGNA
OH0133715Medicaid
KY80000177Medicaid
001715086OtherMOUNTAIN STATE BCBS
2780354OtherUHC OF OHIO
311580933001OtherTRICARE
000000041976OtherANTHEM
480024301OtherRAILROAD MEDICARE
311580933001OtherTRICARE
KYG321OtherBCBS
OH0133715Medicaid