Peggy Richardson-Moore MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301041722 Issued in MI

Legal business name

PEGGY RICHARDSON-MOORE MD PC

Doing business as

Preferred Medical

Practice address

211 Glendale St Ste 200
Highland Park, MI 48203-3231

Phone

(313) 564-8930

Fax

(313) 564-8933

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Peggy Richardson

Title

MD

Phone

(313) 564-8930

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Preferred Medical Doing business as

Locations

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1194081349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GLENDALE ST STE 200",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033231",
            "telephone_number": "313-564-8930",
            "fax_number": "313-564-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 GLENDALE ST STE 200",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033231",
            "telephone_number": "313-564-8930",
            "fax_number": "313-564-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY RICHARDSON-MOORE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "313-564-8930",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301041722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5102934",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chaewon Park
• Kathy Lynn Parker, LPN
• Passionate Care Home Health Agency
• Manishaben Jigneshkumar Patel
• Monil I Patel
• Laura Raquel Perez
• Latashia Phillips
• Physicians Dialysis Acquisitions Inc (PDI Highland Park)
• Romie Jeffrey Pinkett, LPC
• Preferred Medical Professionals, P.C.

• Internal Medicine Physician in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.