Active NPI
Richard a Moyer DO PC
- Orthopaedic Surgery Physician
- Lapeer, MI
National Provider Identifier
1740447234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5101010355
- Legal business name
- RICHARD A MOYER DO PC
- Practice address
- 1257 N Main St
Lapeer, MI 48446-1348 - Phone
- (810) 664-3984
- Fax
- (810) 664-2125
- NPI assigned
- May 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pat Willis
- Title
- Biller
- Phone
- (810) 664-3984
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5101010355 | MI | Primary |
Addresses
Primary practice location
1257 N Main St
Lapeer, MI 48446-1348
Mailing address
1257 N Main St
Lapeer, MI 48446
Phone (810) 664-3984
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4670432 | Other | AETNA INSURANCE | |
| 5440033 | Other | MI | MEDICARE PLUS BLUE |
| 0653890004 | Other | CIGNA INSURANCE | |
| 1000676 | Other | MCLAREN HEALTH PLAN | |
| 5440033 | Other | BLUE CROSS BLUE SHIELD OF MICHINGA | |
| 5440033 | Other | MI | BSBSM MEDICARE ADVANTAGE |
| 114210759 | Medicaid | MI | |
| 113342 | Other | GREAT LAKES HEALTH PLAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212278400000",
"number": "1740447234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1257 N MAIN ST",
"city": "LAPEER",
"state": "MI",
"postal_code": "48446",
"telephone_number": "810-664-3984",
"fax_number": "810-664-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 N MAIN ST",
"city": "LAPEER",
"state": "MI",
"postal_code": "484461348",
"telephone_number": "810-664-3984",
"fax_number": "810-664-2125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD A MOYER DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-21",
"last_updated": "2008-06-01",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "PAT",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "810-664-3984"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101010355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "4670432",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PLUS BLUE",
"identifier": "5440033",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INSURANCE",
"identifier": "0653890004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "1000676",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHINGA",
"identifier": "5440033",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSBSM MEDICARE ADVANTAGE",
"identifier": "5440033",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114210759",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "113342",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.