Active NPI
William B Richardson, MD
- Family Medicine Physician
- Eastport, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15647
- Practice address
- 30 Boynton St
Eastport, ME 04631-1397 - Phone
- (207) 853-6001
- Fax
- (207) 853-4031
- NPI assigned
- Jan 6, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15647 | ME | Primary |
Addresses
Primary practice location
30 Boynton St
Eastport, ME 04631-1397
Mailing address
PO Box 275
3 Curtis Road Trivalley Family Practice LLC
Vernon, NY 13476-0275
Phone (315) 829-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastport Health Care, Inc
Practice addresses (Care Compare)
160 Dublin St
Machias, ME 04654-3409
Phone (207) 255-8290
30 Boynton St
Eastport, ME 04631-1306
Phone 2078536001141
Hospital & facility affiliations
- Community Health & Counseling Services
- Community Health & Counseling Services
- Calais Community Hospital
- Down East Community Hospital
- Oswego Hospital
- St Joseph Hospital
- Northern Light Eastern Maine Medical Center
- Central Park Rehabilitation and Nursing Center
- Eastport Memorial Nursing Home
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15647 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastport Health Care, Inc. | Current | Accepting new patients | |
| CS Pacs 3 Northeast, LLC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Eastport Health Care, Inc. | Current | Accepting new patients | |
| Morningstar Care Center | Past | Accepting new patients | |
| CRNC LLC | Past | Accepting new patients | |
| Immediate Medical Care of Cny, PC | Family Medicine | Past | Accepting new patients |
| Eastport Memorial Hospital | Past | Accepting new patients | |
| Cprnc, LLC | Past | Accepting new patients |
Locations
30 Boynton St
Eastport, ME 04631
Phone (207) 853-6001
160 Dublin St
Machias, ME 04654
Phone (207) 255-3400
3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
4241 201st St
Flushing, NY 11361
Phone (516) 599-5688
2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003
17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300
1 Elsie St
Rome, NY 13440
Phone (315) 336-4435
100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813
Interoperability endpoints
- william.richardson.1@8309.direct.athenahealth.com
- https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Cortland Park Rehabilitation and Nursing Center | Skilled nursing facility | Contracted Managing Employee | Mar 5, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Eastport, ME
- NPI 1093752917
-
- Hospitalist Physician
- New York, NY
- NPI 1700315538
-
- Federally Qualified Health Center (FQHC)
- Machias, ME
- NPI 1295020691
-
- Skilled Nursing Facility
- Eastport, ME
- NPI 1912003328
-
- Skilled Nursing Facility
- Syracuse, NY
- NPI 1386899771
-
- Skilled Nursing Facility
- Cortland, NY
- NPI 1922398288
-
- Family Medicine Physician
- Manlius, NY
- NPI 1982892006
-
- Skilled Nursing Facility
- Oswego, NY
- NPI 1437446101
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Calais, ME
- NPI 1922001049
-
- Community Based Hospice Care Agency
- Bangor, ME
- NPI 1508921842
-
- Home Health Agency
- Bangor, ME
- NPI 1588720866
-
- Critical Access Hospital
- Machias, ME
- NPI 1528087004
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1457409617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 275",
"address_2": "3 CURTIS ROAD TRIVALLEY FAMILY PRACTICE LLC",
"city": "VERNON",
"state": "NY",
"postal_code": "134760275",
"telephone_number": "315-829-2220",
"fax_number": "315-829-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BOYNTON ST",
"city": "EASTPORT",
"state": "ME",
"postal_code": "046311397",
"telephone_number": "207-853-6001",
"fax_number": "207-853-4031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "WILLIAM",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-06",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "15647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.