NPIMap

Individual provider Active NPI

Richard Lockard, MD

  • Family Medicine Physician
  • Elkton, MI
National Provider Identifier
1184713174
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RL040876 Issued in MI
Practice address
6 N Main St
Elkton, MI 48731
Phone
(989) 375-2273
Fax
(989) 375-4552
NPI assigned
Oct 11, 2006
Last updated
May 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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 RL040876 MI Primary

Addresses

Primary practice location

6 N Main St
Elkton, MI 48731

Mailing address

6 N Main St
Elkton, MI 48731-5137
Phone (989) 375-2273

Other identifiers 1

IdentifierTypeStateIssuer
1184713174MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000535 MI Practitioner - Family PracticePractitioner - General Practice 6709799141 Reassigns benefits to 1 organization
Practice locations: Bad Axe, MI

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
University of Michigan Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Thumb RegionGroup PAC ID 6800709221, 39 clinicians

Practice addresses (Care Compare)

1100 S Van Dyke
Bad Axe, MI 48413-9615

1100 S Van Dyke Rd
Bad Axe, MI 48413-9615
Phone (989) 269-9521

6 N Main St
Elkton, MI 48731-5137
Phone (989) 375-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RL040876MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Thumb Region CurrentSince Feb 1, 2014 Accepting new patients
Huron Pathology Services PC Current Accepting new patients
McLaren Thumb Region Current Accepting new patients
McLaren Thumb Region CurrentSince Feb 1, 2014 Accepting new patients
Huron County Building Office of Treasurer Past Accepting new patients

Locations

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

2269 E Main St
Ubly, MI 48475
Phone (517) 658-8541

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Huron County Building Office of TreasurerBad Axe, MI, CCN 235028 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 31, 2025
Compassus - Cass CityCass City, MI, CCN 231605 Hospice Contracted Managing Employee Feb 15, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1184713174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N MAIN ST",
            "city": "ELKTON",
            "state": "MI",
            "postal_code": "487315137",
            "telephone_number": "989-375-2273",
            "fax_number": "989-375-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N MAIN ST",
            "city": "ELKTON",
            "state": "MI",
            "postal_code": "48731",
            "telephone_number": "989-375-2273",
            "fax_number": "989-375-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKARD",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "RL040876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184713174",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MI

Sources for this page

Verify at the official NPI Registry.