Active NPI
Lory Michelle Read, DO
- Family Medicine Physician
- Lakeview, MI
National Provider Identifier
1770523524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101015790
- Practice address
- 418 Washington St
Lakeview, MI 48850-9806 - Phone
- (989) 352-6474
- Fax
- (989) 352-8451
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Lakeview, MI
- NPI 1144534520
-
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1851588859
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250828000188 | MI | Order and Referring Only - Family Practice | 9234134891 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Michigan Rehab PLLC | Past | Accepting new patients | |
| Spectrum Health Kelsey | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101015790 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
418 Washington St
Lakeview, MI 48850-9806
Mailing address
3700 52ND St SE
Grand Rapids, MI 49512-9637
Phone (616) 656-3700
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| LR015790 | Other | MI | BCBS |
| 4913900 | Medicaid | MI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2020.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1770523524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 52ND ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495129637",
"telephone_number": "616-656-3700",
"fax_number": "616-656-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 WASHINGTON ST",
"city": "LAKEVIEW",
"state": "MI",
"postal_code": "488509806",
"telephone_number": "989-352-6474",
"fax_number": "989-352-8451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "READ",
"first_name": "LORY",
"middle_name": "MICHELLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101015790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "LR015790",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4913900",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeview, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.