Individual provider Active NPI

Richard W Easton, MD

  • Orthopaedic Surgery Physician
  • Rochester Hills, MI
National Provider Identifier
1083696355
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301051364 Issued in MI
Practice address
1555 South Blvd E
Suite 310
Rochester Hills, MI 48307-5605
Phone
(248) 215-8095
Fax
(248) 289-1086
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301051364 MI Primary

Addresses

Primary practice location

1555 South Blvd E
Suite 310
Rochester Hills, MI 48307-5605

Mailing address

1555 South Blvd E
Suite 310
Rochester Hills, MI 48307-5605
Phone (248) 215-8095

Other identifiers 1

IdentifierTypeStateIssuer
3057123MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address reaston103588@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041021000658 MI Practitioner - Orthopedic Surgery 8820059272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Human Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Orthopaedic Spine Surgeons PCGroup PAC ID 3779732466, 15 clinicians

Practice addresses (Care Compare)

1555 S Blvd E
Suite 310
Rochester Hills, MI 48307-5624
Phone (248) 215-8080

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Residential Home Health Home health agency, Troy, MI, CCN 237459
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion293
Laminectomy or laminotomy (partial removal of spine bones)126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301051364MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopaedic Spine Surgeons PC Orthopaedic Surgery CurrentSince Feb 18, 2013 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Dec 2, 2019 Accepting new patients
Richard Easton MD PC Orthopaedic Surgery PastSince Nov 1, 2004 Accepting new patients
Michigan Orthopaedic Spine Surgeons PC Past Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

1555 South Blvd E
Ste 310
Rochester Hills, MI 48307
Phone (248) 215-8080

29624 Woodward Ave
Royal Oak, MI 48073
Phone (248) 215-8080

3535 W 13 Mile Rd
Ste 742
Royal Oak, MI 48073
Phone (248) 551-9100

44199 Dequindre Rd
#502
Troy, MI 48085

44199 Dequindre Rd
Troy, MI 48085
Phone (248) 828-5083

44199 Dequindre Rd
Ste 250
Troy, MI 48085
Phone (248) 879-8441

Interoperability endpoints

  • Direct secure messaging: reaston1232238@epic00.shdirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1083696355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E",
            "address_2": "SUITE 310",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075605",
            "telephone_number": "248-215-8095",
            "fax_number": "248-289-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E",
            "address_2": "SUITE 310",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075605",
            "telephone_number": "248-215-8095",
            "fax_number": "248-289-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTON",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301051364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3057123",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reaston103588@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "1555 South Blvd E",
            "address_2": "SUITE 310",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483075605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.