Active NPI
Lawrence B Richard, D.P.M.
- Podiatrist
- Taylor, MI
National Provider Identifier
1972565448
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901001176
- Practice address
- 22908 Wick Rd
Suite C
Taylor, MI 48180-3589 - Phone
- (313) 295-2660
- Fax
- (313) 295-1878
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901001176 | MI | Primary |
Addresses
Primary practice location
22908 Wick Rd
Suite C
Taylor, MI 48180-3589
Mailing address
22908 Wick Rd
Suite C
Taylor, MI 48180-3589
Phone (313) 295-2660
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2845097 | Medicaid | MI | |
| 480006260 | Other | MI | MR RR TAYLOR |
| 4858255610 | Other | MI | BCBSM TLR |
| 480011674 | Other | MI | RAILROAD MEDICARE |
| 1658287 | Medicaid | MI | |
| 480D710100 | Other | MI | BCBSM GROUP HWL |
| 1717566 | Medicaid | MI | |
| 480F302060 | Other | MI | BCBSM GROUP SLD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John M Stevelinck DPM PC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Podiatrist
- Howell, MI
- NPI 1477898872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1972565448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22908 WICK RD",
"address_2": "SUITE C",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803589",
"telephone_number": "313-295-2660",
"fax_number": "313-295-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22908 WICK RD",
"address_2": "SUITE C",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803589",
"telephone_number": "313-295-2660",
"fax_number": "313-295-1878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "LAWRENCE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901001176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2845097",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MR RR TAYLOR",
"identifier": "480006260",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM TLR",
"identifier": "4858255610",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480011674",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1658287",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP HWL",
"identifier": "480D710100",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1717566",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP SLD",
"identifier": "480F302060",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.