NPIMap

Organization Active NPI

Richard a Koepke,DO,PLC

  • Specialist
  • Lambertville, MI
National Provider Identifier
1912943499
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5101011998 Issued in MI
Legal business name
RICHARD A KOEPKE,DO,PLC
Practice address
3309 Quail Hollow Dr
Suite a
Lambertville, MI 48144-8688
Phone
(734) 854-5441
Fax
(734) 854-7441
NPI assigned
Jun 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard A Koepke, D.O.NPI 1891797510
Title
Owner
Phone
(734) 854-5441

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5101011998 MI Primary

Addresses

Primary practice location

3309 Quail Hollow Dr
Suite a
Lambertville, MI 48144-8688

Mailing address

3309 Quail Hollow Dr
Suite a
Lambertville, MI 48144-8688
Phone (734) 854-5441

Other names 1

  • BEDFORD FAMILY PHYSICIANS Other name

National Provider Directory

National Provider Directory

Locations

3309 Quail Hollow Dr
Ste A
Lambertville, MI 48144
Phone (734) 854-5441

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912943499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 QUAIL HOLLOW DR",
            "address_2": "SUITE A",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481448688",
            "telephone_number": "734-854-5441",
            "fax_number": "734-854-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 QUAIL HOLLOW DR",
            "address_2": "SUITE A",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481448688",
            "telephone_number": "734-854-5441",
            "fax_number": "734-854-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A KOEPKE,DO,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOEPKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-854-5441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "5101011998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEDFORD FAMILY PHYSICIANS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lambertville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.