Active NPI
Richard Edward Honicky, M.D.
- Pediatric Pulmonology Physician
- Lansing, MI
National Provider Identifier
1326059031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 4301036851
- Practice address
- 1540 Lake Lansing Rd
Suite 107
Lansing, MI 48912-3756 - Phone
- (517) 913-3800
- Fax
- (517) 913-3801
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 4301036851 | MI | Primary |
Addresses
Primary practice location
1540 Lake Lansing Rd
Suite 107
Lansing, MI 48912-3756
Mailing address
1540 Lake Lansing Rd
Suite 107
Lansing, MI 48912-3756
Phone (517) 913-3800
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00848493 | Other | MI | MEDICARE RAILROD |
| 1038849 | Other | MI | MCLAREN HEALTH ADVANTAGE |
| 1038849 | Other | MI | MCLAREN HEALTH PLAN-COMMERCIAL |
| 4322962 | Other | MI | AETNA |
| 3503352731 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| 0M21440065 | Other | MI | MEDICARE PLUS BLUE |
| 1038849 | Other | MI | MCLAREN HEALTH PLAN-MEDICAID |
| 200000021303 | Other | MI | PHP |
| 200000021303 | Other | MI | PHP FAMILYCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301036851 | MI | MD | Pediatric Pulmonology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1326059031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 LAKE LANSING RD",
"address_2": "SUITE 107",
"city": "LANSING",
"state": "MI",
"postal_code": "489123756",
"telephone_number": "517-913-3800",
"fax_number": "517-913-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 LAKE LANSING RD",
"address_2": "SUITE 107",
"city": "LANSING",
"state": "MI",
"postal_code": "489123756",
"telephone_number": "517-913-3800",
"fax_number": "517-913-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONICKY",
"first_name": "RICHARD",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "MI",
"license": "4301036851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROD",
"identifier": "P00848493",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH ADVANTAGE",
"identifier": "1038849",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN-COMMERCIAL",
"identifier": "1038849",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4322962",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "3503352731",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PLUS BLUE",
"identifier": "0M21440065",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN-MEDICAID",
"identifier": "1038849",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "200000021303",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP FAMILYCARE",
"identifier": "200000021303",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.