Individual provider Active NPI

Faith Anyango Richard, PA-C

  • Physician Assistant
  • Akron, OH
National Provider Identifier
1053846071
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004947RX Issued in OH
Practice address
1569 Vernon Odom Blvd
Akron, OH 44320-4089
Phone
(330) 867-7544
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004947RX OH Primary

Addresses

Primary practice location

1569 Vernon Odom Blvd
Akron, OH 44320-4089

Mailing address

4542 Warrensville Center Rd Apt 111C
North Randall, OH 44128-4198
Phone (912) 572-1789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180219000977 OH Practitioner - Physician Assistant 7719252196 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

16601 Chagrin Blvd
Shaker Heights, OH 44120-3719
Phone (216) 727-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004947RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Urgent Care, LLC CurrentSince Feb 11, 2026 Accepting new patients
Care Alliance CurrentSince Jan 29, 2022 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Feb 11, 2026 Accepting new patients
Internal Medicine Specialists, Inc Past Accepting new patients
B S Bonyo DO & Associates Inc PastSince Oct 24, 2003 Accepting new patients

Locations

6001 Woodland Ave
Cleveland, OH 44104
Phone (216) 431-2018

2916 Central Ave
Cleveland, OH 44115
Phone (216) 535-9100

1530 Saint Clair Ave NE
Cleveland, OH 44114
Phone (216) 535-9100

16601 Chagrin Blvd
Shaker Heights, OH 44120
Phone (216) 727-2010

Interoperability endpoints

  • Direct secure messaging: faith.richard.1@26582.direct.athenahealth.com
  • Direct secure messaging: faith.richard@779530956636164.direct.elationemr.com
  • Direct secure messaging: faith.richard@521861120327684.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDHBAA
  • FHIR API: https://api.platform.athenahealth.com/16545/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053846071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 WARRENSVILLE CENTER RD APT 111C",
            "city": "NORTH RANDALL",
            "state": "OH",
            "postal_code": "441284198",
            "telephone_number": "912-572-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 VERNON ODOM BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204089",
            "telephone_number": "330-867-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "FAITH",
        "middle_name": "ANYANGO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004947RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.