MARK D RICHARDSON MD PC (NPI# 1669619441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669619441 |
| Entity Type | Organization |
| Organization Name | MARK D RICHARDSON MD PC |
| Practice Address |
215 E Mansion St Ste 1e Marshall MI 49068-1167 |
| Practice Telephone | 2697813938 |
| Practice Fax Number | 2697818364 |
| Mailing Telephone | 2697813938 |
| Mailing Fax Number | 2697818364 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2010-06-10 |
| Authorized Official Name | DR. MARK DAVID RICHARDSON (OWNER) |
| Authorized Official Telephone | 2697813938 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301047635 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2895802 | 05 |
| Street Address |
215 E MANSION ST STE 1E |
| City | MARSHALL |
| State | MI |
| Zip Code | 49068-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184028656 | Jennifer Burnham | Nurse Practitioner | 215 E Mansion St Ste 1e, Marshall, MI 49068-1167 | 2014-10-13 |
| 1013355569 | Sami Ahmed | Family Medicine | 215 E Mansion St Ste 1e, Marshall, MI 49068-1167 | 2013-06-06 |
| 1790054351 | Charlotte R Closson | Registered Nurse | 215 E Mansion St Ste 1e, Marshall, MI 49068-1167 | 2011-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
| 1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
| 1861948671 | Jaina Schank | Occupational Therapist | 879 E Michigan Avenue, Medilodge of Marshall, Marshall, MI 49068 | 2016-08-31 |
| 1609234426 | Maria Miller | Dental Hygienist | 111 N. Jefferson St, Suite 1, Marshall, MI 49068 | 2016-02-08 |
| 1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
| 1225447659 | Charles Middleton | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068 | 2014-08-11 |
| 1952662538 | Angela Louise Robin | Podiatrist | 1600 S Kalamazoo Ave, Marshall, MI 49068 | 2012-05-31 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
| Find all providers in zip 49068 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760950737 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 1602 Il Hwy 1, Marshall, IL 62441 | 2018-11-08 |
| 1336525666 | Idriss Ibrahim | Family Medicine | 309 E College Dr, Marshall, MN 56258-2379 | 2015-08-10 |
| 1417362039 | Melissa Kay Gates | Family Medicine | 1174 W Michigan Ave Ste A, Marshall, MI 49068-1625 | 2014-06-23 |
| 1114362902 | Charity U Eko | Family Medicine | 815 S Washington Ave Ste 303, Marshall, TX 75670-5358 | 2013-05-07 |
| 1033457429 | Richard Raynor | Family Medicine | 2105 E Watermill Rd, Marshall, MO 65340-4684 | 2013-01-21 |
| 1528351178 | Lori Anne Lynner | Family Medicine | 3160 Us Hwy 59, Marshall, MN 56258 | 2011-05-16 |
| 1134307663 | Philip Rutherford Glotfelty IIi | Family Medicine | 635 N Linden St, Marshall, MI 49068-1054 | 2008-02-06 |
| 1104011295 | Mid-missouri Family Health, LLC | Family Medicine | 78 S. Jefferson, Marshall, MO 65340 | 2007-09-11 |
| 1790983609 | Jamie Lynn Longhurst | Family Medicine | 215 E Mansion St Ste 2a, Marshall, MI 49068 | 2007-07-03 |
| 1457576647 | John G Adams | Family Medicine | 711 E End Blvd S, Marshall, TX 75670-5615 | 2007-04-14 |
| Find all providers in MARSHALL | ||||
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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.