Active NPI
Richard G Girardi, DO
- Surgery Physician
- Adrian, MI
National Provider Identifier
1982606877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101010175
- Practice address
- 777 Kimole LN
Suite 220
Adrian, MI 49221-1478 - Phone
- (517) 263-6464
- Fax
- (517) 263-8223
- NPI assigned
- Aug 11, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101010175 | MI | Primary |
Addresses
Primary practice location
777 Kimole LN
Suite 220
Adrian, MI 49221-1478
Mailing address
777 Kimole LN
Suite 220
Adrian, MI 49221-1478
Phone (517) 263-6464
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000359501 | Other | ANTHEM | |
| 0254620994 | Other | MI | BCBS MI |
| 115543 | Other | MI | PREFERRED CHOICE PPO |
| 4516021 | Other | MI | AETNA |
| 100975 | Other | GLHP | |
| 03641 | Other | MI | PARAMOUNT |
| 115543 | Other | MI | CARE CHOICES |
| 2645347 | Medicaid | OH | |
| 4547844 | Medicaid | MI | |
| P00123694 | Other | MI | RRMC |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1982606877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 KIMOLE LN",
"address_2": "SUITE 220",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211478",
"telephone_number": "517-263-6464",
"fax_number": "517-263-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 KIMOLE LN",
"address_2": "SUITE 220",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211478",
"telephone_number": "517-263-6464",
"fax_number": "517-263-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRARDI",
"first_name": "RICHARD",
"middle_name": "G",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101010175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000359501",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI",
"identifier": "0254620994",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CHOICE PPO",
"identifier": "115543",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4516021",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLHP",
"identifier": "100975",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "03641",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "115543",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2645347",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4547844",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00123694",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.