Active NPI
Richard S York, MD
- Surgery Physician
- Ludington, MI
National Provider Identifier
1720166648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- RY046032
- Practice address
- 5 N Atkinson Dr
Suite 201
Ludington, MI 49431-2918 - Phone
- (231) 845-7732
- Fax
- (231) 843-1190
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | RY046032 | MI | Primary |
Addresses
Primary practice location
5 N Atkinson Dr
Suite 201
Ludington, MI 49431-2918
Mailing address
5 N Atkinson Dr
Suite 201
Ludington, MI 49431-2918
Phone (231) 845-7732
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22971 | Other | MI | PRIORITY HEALTH |
| 020033763 | Other | MI | RAILROAD RETIREMENT |
| 103141 | Other | MI | MOLINA |
| 3359680 | Medicaid | MI | |
| 0205344932 | Other | MI | BLUE CROSS BLUE SHIELD |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RY046032 | MI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1720166648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 N ATKINSON DR",
"address_2": "SUITE 201",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494312918",
"telephone_number": "231-845-7732",
"fax_number": "231-843-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 N ATKINSON DR",
"address_2": "SUITE 201",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494312918",
"telephone_number": "231-845-7732",
"fax_number": "231-843-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "RICHARD",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "RY046032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "22971",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD RETIREMENT",
"identifier": "020033763",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "103141",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3359680",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0205344932",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ludington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.