MATTHEW C RICHARDS (NPI# 1093053548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093053548 |
| Entity Type | Individual |
| Full Name | MATTHEW C RICHARDS |
| Credential | PA-C |
| Practice Address |
4200 Division Ave N Comstock Park MI 49321-9546 |
| Mailing Address |
5900 Byron Center Ave Sw Medical Administration Wyoming MI 49519-9606 |
| Practice Telephone | 6162525160 |
| Mailing Telephone | 6162523243 |
| Mailing Fax Number | 6162520260 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2017-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601006592 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902324973 | Matthew O Richards | Occupational Therapist | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2017-08-30 |
| 1003255332 | Matthew Thomas Richards | Surgery | 245 N 15th St, Ms 413, Philadelphia, PA 19102-1101 | 2013-06-20 |
| 1245596048 | Matthew Harold Richards | Hospitalist | 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 | 2012-04-05 |
| 1376833285 | Matthew James Richards | Pharmacist | 8878 Clearfield Curwensville Hwy, Clearfield, PA 16830-3519 | 2011-04-12 |
| 1033347836 | Matthew Douglas Richards | Dentist | 122 1st Ave, Ste 600, Fairbanks, AK 99701-4803 | 2009-06-30 |
| Street Address |
4200 DIVISION AVE N |
| City | COMSTOCK PARK |
| State | MI |
| Zip Code | 49321-9546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225039837 | Michael Allen Moore | Physician Assistant | 4200 Division Ave N, Comstock Park, MI 49321-9546 | 2005-08-04 |
| 1457856890 | Elizabeth Holt | Physical Therapist | 4200 Division Ave N, Comstock Park, MI 49321-9546 | 2018-03-28 |
| 1881084531 | Margaret Normandin | Physician Assistant | 4200 Division Ave N, Comstock Park, MI 49321-9546 | 2015-02-03 |
| 1134437072 | Erika Ann Walker | Physician Assistant | 4200 Division Ave N, Comstock Park, MI 49321-9546 | 2010-09-14 |
| 1649408998 | Derek Alan Barker | Podiatrist | 4200 Division Ave N, Comstock Park, MI 49321-9546 | 2009-06-25 |
| 1467483727 | Daniel K Koschtial | Podiatrist | 4200 Division Ave N, Comstock Park, MI 49321-9546 | 2006-07-05 |
| 1780648170 | Gary N Sackett | Family Medicine | 4200 Division Ave N, Comstock Park, MI 49321-9546 | 2006-04-13 |
| 1962465690 | Janice K Wabeke | Family Medicine | 4200 Division Ave N, Comstock Park, MI 49321-9546 | 2006-04-12 |
| 1528033966 | Rebecca Joy Paige-guerra | Physician Assistant | 4200 Division Ave N, Comstock Park, MI 49321-9546 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386170546 | Carlie Little | Rehabilitation Practitioner | 3913 Leland Ave. Nw, Comstock Park, MI 49321 | 2017-05-10 |
| 1417497892 | Debra Andree | Custodial Care Facility | 609-7 Mile Rd Nw, Comstockpark, MI 49321 | 2017-03-03 |
| 1821484700 | Allan Smith | Registered Nurse | 441 Chasseral Dr Ne, Apt A1, Comstock Park, MI 49321 | 2015-04-08 |
| 1518083864 | Alpine Family Dentistry PC | Dentist | 4040 Alpine Ave Nw, Comstock Park, MI 49321 | 2007-03-21 |
| 1548345630 | James P Patyi | Optometrist | 3999 Alpine Ave, Comstock Park, MI 49321 | 2006-10-26 |
| 1871689638 | Kent Pediatrics, PC | Pediatrics | 4735 West River Dr., Comstock Park, MI 49321 | 2006-10-05 |
| 1053804534 | Zachary Eddy | Physical Therapist | 4615 W River Dr Ne, Comstock Park, MI 49321-7924 | 2018-06-11 |
| 1326052929 | Gregory P. Houghteling | Dentist | 6655 Alpine Ave Nw, Comstock Park, MI 49321-8000 | 2006-07-28 |
| 1194084780 | Detalmax PC | Dentist | 6655 Alpine Ave Nw, Suite 1, Comstock Park, MI 49321-8000 | 2012-05-16 |
| 1154361293 | Jeffrey John Vrielink | Psychiatry & Neurology | 6410 Alpine Ave Nw, Suite A, Comstock Park, MI 49321-8001 | 2006-06-07 |
| Find all providers in zip 49321 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881084531 | Margaret Normandin | Physician Assistant | 4200 Division Ave N, Comstock Park, MI 49321-9546 | 2015-02-03 |
| 1134437072 | Erika Ann Walker | Physician Assistant | 4200 Division Ave N, Comstock Park, MI 49321-9546 | 2010-09-14 |
| 1528033966 | Rebecca Joy Paige-guerra | Physician Assistant | 4200 Division Ave N, Comstock Park, MI 49321-9546 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | COMSTOCK PARK |
| Zip Code | 49321 |
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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.