Individual provider Active NPI

Todd Bruce Richards, P.A.-C.

  • Physician Assistant
  • Frankfort, MI
National Provider Identifier
1790895779
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009216 Issued in MI
Practice address
224 Park Ave
Frankfort, MI 49635-9036
Phone
(231) 352-2200
Fax
(231) 352-2232
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50-000841 OH
Physician Assistant 363A00000X 5601009216 MI Primary

Addresses

Primary practice location

224 Park Ave
Frankfort, MI 49635-9036

Mailing address

224 Park Ave
Frankfort, MI 49635-9658
Phone (231) 352-2200

Other practice location 1

1105 Sixth St
Traverse City, MI 49684
Phone (231) 935-5000

Other practice location 2

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8686

Other practice location 3

10 Severance Cir
Cleveland Heights, OH 44118-1533
Phone (216) 524-7377

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623002500 MI Practitioner - Physician Assistant 5294639845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

1121 6TH St
Suite 316
Traverse City, MI 49684-2345
Phone (231) 392-8280

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-2686

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601009216MIMDPhysician Assistant
50-000841OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Oliver Memorial Hospital CurrentSince Jul 15, 2021 Accepting new patients
Paul Oliver Memorial Hospital CurrentSince Jul 15, 2021 Accepting new patients
Munson Medical Center CurrentSince Jul 15, 2021 Accepting new patients
Munson Medical Center CurrentSince Jul 15, 2021 Accepting new patients
Healthspan Physicians LLC Past Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1790895779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PARK AVE",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359658",
            "telephone_number": "231-352-2200",
            "fax_number": "231-352-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PARK AVE",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359036",
            "telephone_number": "231-352-2200",
            "fax_number": "231-352-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "49684",
            "country_code": "US",
            "telephone_number": "231-935-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Munson Ave",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863580",
            "country_code": "US",
            "telephone_number": "231-935-8686",
            "fax_number": "231-935-8708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Severance Cir",
            "address_purpose": "LOCATION",
            "city": "Cleveland Heights",
            "state": "OH",
            "postal_code": "441181533",
            "country_code": "US",
            "telephone_number": "216-524-7377",
            "fax_number": "216-297-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "TODD",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-000841",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, MI

Sources for this page

Verify at the official NPI Registry.