Mark D Richardson MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301047635 Issued in MI

Legal business name

MARK D RICHARDSON MD PC

Practice address

215 E Mansion St Ste 1E
Marshall, MI 49068-1167

Phone

(269) 781-3938

Fax

(269) 781-8364

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark David Richardson, M.D.

Title

Owner

Phone

(269) 781-3938

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1669619441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E MANSION ST STE 1E",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681167",
            "telephone_number": "269-781-3938",
            "fax_number": "269-781-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MANSION ST STE 1E",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681167",
            "telephone_number": "269-781-3938",
            "fax_number": "269-781-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D RICHARDSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-781-3938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301047635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2895802",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Joseph Malocha, MACCCA
• Michael Scott Mann, FNP-C
• Sarah E. Mannes
• Mansion Street Obstetrics & Gynecology PC
• Mansion Street Womens Health PLLC
• Marshall Area Firefighters Ambulance Authority
• Marshall Chiropractic Life Center, P.C.
• Marshall City Pharmacy Inc
• Marshall Eye Care P.C.
• Marshall Family Dentistry PLLC

• Family Medicine Physician in Marshall, MI
• Providers in Marshall, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.