Individual provider Active NPI

Richard Roy Townley, M.D.

  • Allergy & Immunology Physician
  • Grand Rapids, MI
National Provider Identifier
1457371494
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301036572 Issued in MI
Practice address
3625 Clyde Park Ave SW
Suite 1
Grand Rapids, MI 49509-4023
Phone
(616) 531-6900
Fax
(616) 531-5847
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 4301036572 MI Primary

Addresses

Primary practice location

3625 Clyde Park Ave SW
Suite 1
Grand Rapids, MI 49509-4023

Mailing address

3625 Clyde Park Ave SW
Suite 1
Grand Rapids, MI 49509-4023
Phone (616) 531-6900

Other identifiers 1

IdentifierTypeStateIssuer
2121506MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000766 MI Practitioner - Allergy/Immunology 6901816891 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301036572MIMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates of Western Michigan P.C. Allergy & Immunology CurrentSince Jul 27, 1992 Accepting new patients

Locations

3625 Clyde Park Ave SW
Ste 1
Grand Rapids, MI 49509
Phone (616) 531-6900

3185 Macatawa Dr SW
Grandville, MI 49418
Phone (616) 531-6900

3185 Macatawa Dr SW
Ste B
Wyoming, MI 49418
Phone (616) 531-6900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457371494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 CLYDE PARK AVE SW",
            "address_2": "SUITE 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495094023",
            "telephone_number": "616-531-6900",
            "fax_number": "616-531-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 CLYDE PARK AVE SW",
            "address_2": "SUITE 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495094023",
            "telephone_number": "616-531-6900",
            "fax_number": "616-531-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNLEY",
        "first_name": "RICHARD",
        "middle_name": "ROY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301036572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2121506",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.