Active NPI
Abigail Richeson, D.O.
- Family Medicine Physician
- Portage, MI
National Provider Identifier
1427435320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101021599
- Practice address
- 2700 E Centre Ave
Portage, MI 49002-5500 - Phone
- (269) 286-7050
- NPI assigned
- Apr 29, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101021599 | MI | Primary |
Addresses
Primary practice location
2700 E Centre Ave
Portage, MI 49002-5500
Mailing address
601 John Street
Box 39
Kalamazoo, MI 49007
Other practice location 1
1200 E Michigan Ave
Suite 245A
Lansing, MI 48912-1800
Phone (517) 364-5772
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson Healthcare Group |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101021599 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1427435320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 JOHN STREET",
"address_2": "BOX 39",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E CENTRE AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490025500",
"telephone_number": "269-286-7050"
}
],
"practiceLocations": [
{
"address_1": "1200 E Michigan Ave",
"address_2": "Suite 245A",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489121800",
"country_code": "US",
"telephone_number": "517-364-5772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHESON",
"first_name": "ABIGAIL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-29",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101021599",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"affiliationName": "Bronson Healthcare Group",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care Document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.