Richard Michael Mortensen, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

4301079053 Issued in MI

Practice address

1301 Catherine St
7641 Medical Sciences II
Ann Arbor, MI 48109-2026

Phone

(734) 763-2021

Fax

(734) 936-8813

NPI assigned

Jan 7, 2009

Last updated

Jan 7, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1194962530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CATHERINE ST",
            "address_2": "7641 MEDICAL SCIENCES II",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092026",
            "telephone_number": "734-763-2021",
            "fax_number": "734-936-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CATHERINE ST",
            "address_2": "7641 MEDICAL SCIENCES II",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092026",
            "telephone_number": "734-763-2021",
            "fax_number": "734-936-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301079053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan E Morsi, PA
• Armin Mortazavi
• Mary Patricia Mortell, M.D.
• David Mortensen, MD
• McKenzie Mortensen, MS OTR/L
• Emily Jo Mortenson, RN
• Lindsey Young Mortenson, M.D.
• Andrew Morton
• Christina Marie Morton, MD
• Ruth Susan Moscow-Cohen, LMSW

• Endocrinology, Diabetes & Metabolism Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.