Active NPI
Richard Roy Townley, M.D.
- Allergy & Immunology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 4301036572
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2121506 | Medicaid | MI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301036572 | MI | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Associates of Western Michigan P.C. | Allergy & Immunology | Current | 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.
-
- Allergy & Immunology Physician
- Grandville, MI
- NPI 1699792580
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.