DR. PEGGY RICHARDSON (NPI# 1013099548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013099548 |
| Entity Type | Individual |
| Full Name | DR. PEGGY RICHARDSON |
| Credential | M.D. |
| Practice Address |
20755 Greenfield Rd Suite # 802 Southfield MI 48075 |
| Mailing Address |
20755 Greenfield Rd Southfield MI 48075 |
| Practice Telephone | 2485577546 |
| Practice Fax Number | 2485574990 |
| Mailing Telephone | 2485577546 |
| Mailing Fax Number | 2485574990 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 4301041722 | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073733713 | Peggy Richardson | Registered Nurse | 749 E Santa Ana Ave, Fresno, CA 93704-3118 | 2007-04-26 |
| 1689732844 | Peggy A Richardson | Dentist | 16918 S Oak Park Ave, Tinley Park, IL 60477 | 2006-12-04 |
| 1598800302 | Peggy F Richardson | Physical Therapist | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2007-02-20 |
| Street Address |
20755 GREENFIELD RD SUITE # 802 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310128 | Laz Medical Group PC | Family Medicine | 20755 Greenfield Rd, #1101, Southfield, MI 48075-5403 | 2005-07-20 |
| 1316467319 | Enlightened Medical Home Visit Pllc | Clinic/Center | 20755 Greenfield Rd, Suite 803, Southfield, MI 48075 | 2017-06-21 |
| 1245764737 | Sharon Blackshire-tubie | Nurse Practitioner | 20755 Greenfield Rd, #203, Southfield, MI 48075-5403 | 2017-04-12 |
| 1487198255 | Monique R Clark | Nurse Practitioner | 20755 Greenfield Rd, Suite 100, Southfield, MI 48075-5403 | 2016-12-13 |
| 1376094268 | Therahealth Physio Therapy | Preferred Provider Organization | 20755 Greenfield Rd, Suite 602, Southfield, MI 48075-5403 | 2016-10-17 |
| 1528518511 | Progressive Rehab Services, Inc. | Clinic/Center | 20755 Greenfield Rd, Ste 200, Southfield, MI 48075-5403 | 2016-10-13 |
| 1265982466 | Uche Obua | Nurse Practitioner | 20755 Greenfield Rd, Southfield, MI 48075-5403 | 2016-10-12 |
| 1831543768 | Metro Mobility, LLC | Non-emergency Medical Transport (VAN) | 20755 Greenfield Rd, Ste 810, Southfield, MI 48075 | 2016-04-18 |
| 1992183875 | Mobility Home Health Care Inc | Home Health | 20755 Greenfield Rd, Suite 202, Southfield, MI 48075-5403 | 2015-05-12 |
| 1114330966 | Kinetix Rehab Services, Inc. | Clinic/Center | 20755 Greenfield Rd, Southfield, MI 48075-5403 | 2014-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104860212 | Universal Clinic P.C. | Legal Medicine | 18597 W 10 Mile Rd, Ste #1, Southfield, MI 48075-2663 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194101311 | Brittany Rene Kruger | Legal Medicine | 75 Mines Creek Pl, Battle Creek, MI 49015 | 2015-08-11 |
| 1861808594 | Voravut Rungpradubvong | Legal Medicine | 1111 Maiden Lane Ct Apt 106, Ann Arbor, MI 48105-1927 | 2014-07-02 |
| 1851712319 | Shannan Kline | Legal Medicine | 724 W Centre Ave Ste 105, Portage, MI 49024-6306 | 2013-12-30 |
| 1215373899 | Basam Shamoun | Legal Medicine | 43630 Gratiot, Chesterfield, MI 48055 | 2013-05-22 |
| 1184911422 | Complete Physicians Care PC | Legal Medicine | 8635 Nottingham Ct, Ypsilanti, MI 48198-3222 | 2011-07-07 |
| 1174832752 | Kathleen M Chauvin Mdpc | Legal Medicine | 2518 Capital Ave Sw, Ste 4, Battle Creek, MI 49015-4188 | 2010-09-30 |
| 1134438146 | Community Medical Group Inc | Legal Medicine | 9477 N Territorial Rd Ste 100, Dexter, MI 48130-8583 | 2010-09-26 |
| 1205013307 | Carolyn Goodrich Martin | Legal Medicine | 713 4th St, Kalkaska, MI 49646-9506 | 2008-01-31 |
| 1063693083 | Urgent Care One Pllc | Legal Medicine | 6200 Middlebelt Rd, Garden City, MI 48135-2409 | 2007-11-19 |
| 1659569796 | Infusal Direct, Inc. | Legal Medicine | 8315 Grand River Ave, Detroit, MI 48204-2231 | 2007-10-12 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.