Individual provider Active NPI

Richard Anthony Ozog, D.O.

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1144278367
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008962 Issued in MI
Practice address
38253 Ann Arbor Rd
Livonia, MI 48150-3432
Phone
(734) 464-9200
Fax
(734) 464-3332
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101008962 MI Primary

Addresses

Primary practice location

38253 Ann Arbor Rd
Livonia, MI 48150-3432

Mailing address

38253 Ann Arbor Rd
Livonia, MI 48150-3432
Phone (734) 464-9200

Other identifiers 1

IdentifierTypeStateIssuer
4875611-11MedicaidMI

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
I20060518000115 MI Practitioner - Family PracticePractitioner - General Practice 2668483199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Park Family Health Care PCGroup PAC ID 9638077621, 20 clinicians

Practice addresses (Care Compare)

38253 Ann Arbor Rd
Livonia, MI 48150-3432
Phone (734) 464-9200

Hospital & facility affiliations

  • Garden City Hospital Hospital, Garden City, MI, CCN 230244
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Park Family Health Care, P.C. Family Medicine CurrentSince Mar 15, 2020 Accepting new patients

Locations

8532 N Canton Center Rd
Canton, MI 48187
Phone (734) 453-2151

2255 Fort St
Lincoln Park, MI 48146
Phone (313) 357-7500

38253 Ann Arbor Rd
Livonia, MI 48150
Phone (734) 462-3710

28212 Franklin Rd
Southfield, MI 48034

Organizations & group practices 1

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 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1144278367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38253 ANN ARBOR RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503432",
            "telephone_number": "734-464-9200",
            "fax_number": "734-464-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38253 ANN ARBOR RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503432",
            "telephone_number": "734-464-9200",
            "fax_number": "734-464-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZOG",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4875611-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.