NPI 1457663163

Justin Nicklaus Richardson, MD

Practitioner Surgery Physician Leesburg, VA

Practice location

Address: 44055 Riverside Pkwy STE 238, Leesburg, VA 20176-5178
Phone: (703) 858-8878

Registered specialties (3)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 0101282814 (VA)

Other Surgery providers in Virginia →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence CDRH.0053765 (CO)

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence DR.0053765 (CO)

Registry record

NPI: 1457663163
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2010
Record last updated: 12 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.