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DR. RICHARD GENDRON MD
NPI 1720081557
Pediatrics in Kingsport, TN

Active since May 24, 2005
2033 MEADOWVIEW LN, STE 200, KINGSPORT, TN 37660(423) 857-2260(423) 857-2261 Get Directions Write a Review

NPPES record last updated: September 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Gendron Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD GENDRON MD (NPI 1720081557) is an individual pediatrics provider in Kingsport, Tennessee, licensed in Tennessee (MD 11397) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1720081557
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RICHARD GENDRONCredential: MD
Location Address2033 MEADOWVIEW LN, STE 200Kingsport, TN 37660-7569
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2066 · Fax (423) 857-2070
Phone(423) 857-2260
Fax(423) 857-2261
Sole ProprietorNo
Enumeration DateMay 24, 2005
Last NPPES UpdateSeptember 16, 2009
✔ NPI 1720081557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TN · MD 11397✔ Licensed in VA · 0101025181
Definition
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.
2033 MEADOWVIEW LN, Kingsport, TN 37660
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Other Identifiers 9

Medicare UPINB03870
Medicare UPIN103I086169TN
Medicare ID-Type Unspecified3179627TN
Medicaid3898501TN
Medicaid5440943TN
Medicaid006713602VA
Medicaid6713602VA
Medicare PIN0281780001
Medicare PIN0281780003

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY VAUGHN MD
Family Medicine
2033 MEADOWVIEW LN, 3RD FLOOR
KINGSPORT, TN 37660
Sullivan County (423) 857-2793
JENNIFER GORDON SHAFER D.O.
Family Medicine
2033 MEADOWVIEW LN, STE 200
KINGSPORT, TN 37660
Sullivan County (423) 857-2260
ROBERT LEE MD
Family Medicine
2033 MEADOWVIEW LN, 200
KINGSPORT, TN 37660
Sullivan County (423) 857-2260
JAMIE BRIGHT FNP
Nurse Practitioner (Family)
2033 MEADOWVIEW LN, STE 200
KINGSPORT, TN 37660
Sullivan County (423) 857-2260
DR. ARUNA SHAH MD
Family Medicine
2033 MEADOWVIEW LN, STE 200
KINGSPORT, TN 37660
Sullivan County (423) 857-2260
DR. JOSH SHOOK MD
Pediatrics
2033 MEADOWVIEW LN, STE 200
KINGSPORT, TN 37660
Sullivan County (423) 857-2260
DR. JAMES LOUTHAN MD
Internal Medicine
2033 MEADOWVIEW LN, STE 200
KINGSPORT, TN 37660
Sullivan County (423) 857-2260
MS. PEGGY STATON FNP
Nurse Practitioner
2033 MEADOWVIEW LN, STE 200
KINGSPORT, TN 37660
Sullivan County (423) 857-2260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Gendron's NPI number?

The NPI number for Richard Gendron is 1720081557. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Richard Gendron located?

Richard Gendron practices at 2033 Meadowview Ln Ste 200, Kingsport, TN 37660. The listed phone number is (423) 857-2260.

What is Richard Gendron's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Richard Gendron was last updated on September 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.