Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114474723 Individual Practitioner Male Practitioner

Dr. Michael Blake Richardson , MD, DPT

Dermatology • Conway, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Richardson, MD, DPT is a certified Dermatology practicing in Conway, AR. With approximately 5 years of clinical experience since graduating from University Of Arkansas College Of Medicine in 2021, Dr. Richardson delivers high-quality medical care to the local community at 4206 PRINCE ST.

Dr. Richardson accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4206 Prince St

Conway, AR 720349398

Telephone 5014998217
Fax 5014998227
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Arkansas College Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Conway, AR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -22.3 yrs vs City Avg
City Avg: 27.3 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Conway, AR (82 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Richardson (5 Years) 5 Yrs
Conway Specialty Average (27.3 Years) 27.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-18
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AR E-19315

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Kim Dielmann , PhD

Psychologist - Clinical

NPI 1538371190

Doctor of Philosophy (Ph.D.)

Dr. Jennifer Biggers , PsyD

Psychologist - Clinical

NPI 1669985172

Doctor of Psychology (Psy.D.)

Dr. Carley Owen , PhD

Psychologist - Clinical Child & Adolescent

NPI 1780354951

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location January 18, 2026

Registered at 4206 PRINCE ST, CONWAY, AR 720349398 (Tel: 5014998217)

📍
Updated Business Mailing Address January 18, 2026

Registered at 4206 PRINCE ST, CONWAY, AR 720349398 (Tel: 5014998217)

📍
Updated Practice Location October 09, 2025

Registered at 2425 DAVE WARD DR STE 202, CONWAY, AR 720348680 (Tel: 5013285050)

📍
Updated Business Mailing Address October 09, 2025

Registered at 2425 DAVE WARD DR STE 202, CONWAY, AR 720348680 (Tel: 5013285050)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2025

Dermatology (License #E-19315 in AR)

📍
Updated Practice Location April 14, 2021

Registered at 3201 SPRINGHILL DR STE 300, NORTH LITTLE ROCK, AR 721172909 (Tel: 5017534132)

📍
Updated Business Mailing Address April 14, 2021

Registered at 2185 SUGAR CREEK DR, CONWAY, AR 720349603 (Tel: 8702500183)

👤
Provider Name / Credentials Updated April 14, 2021

Recorded as MICHAEL RICHARDSON, MD, DPT

NPI Profile Active September 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2016

Registered at 2801 S. OLIVE STREET, SUITE 9D, PINE BLUFF, AR 716035495 (Tel: 8705410003)

📍
Updated Business Mailing Address September 01, 2016

Registered at 2801 S. OLIVE STREET, SUITE 9D, PINE BLUFF, AR 716035495 (Tel: 8705410003)

👤
Provider Name / Credentials Updated September 01, 2016

Recorded as MICHAEL RICHARDSON, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2016

Physical Therapist (License #PT4227 in AR)

🟢
Initial NPI Registration & Enumeration September 01, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114474723
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2016
Last Update: January 18, 2026
Sole Proprietor: Yes

Mailing Address

4206 Prince St

Conway, AR 720349398

Phone: 5014998217

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.