Organization Active NPI

Patrick D Richmond DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Petoskey, MI
National Provider Identifier
1902116155
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PR001669 Issued in MI
Legal business name
PATRICK D RICHMOND DPM PC
Practice address
2233 Mitchell Park Dr
Petoskey, MI 49770-9600
Phone
(231) 347-3440
Fax
(231) 347-4828
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Dr. Patrick Dennis Richmond, DPMNPI 1851389100
Title
President
Phone
(231) 347-3440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X PR001669 MI
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X PR001669 MI Primary

Addresses

Primary practice location

2233 Mitchell Park Dr
Petoskey, MI 49770-9600

Mailing address

PO Box 525
Petoskey, MI 49770-0525
Phone (231) 347-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110115000078 MI Part B Supplier - Clinic/Group Practice 9032308499 Receives reassigned benefits from 1 practitioner
Practice locations: Beaver Island, MI; Cheboygan, MI; Harbor Springs, MI; Petoskey, MI; Rogers City, MI

National Provider Directory

National Provider Directory

Locations

37304 Kings Hwy
Beaver Island, MI 49782
Phone (231) 448-2275

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1902116155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497700525",
            "telephone_number": "231-347-3440",
            "fax_number": "231-347-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 MITCHELL PARK DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709600",
            "telephone_number": "231-347-3440",
            "fax_number": "231-347-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK D RICHMOND DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-347-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "PR001669",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "PR001669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.