Michael Richardson (NPI# 1124430160, PAC ID# 6901191675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124430160 |
| PAC ID by PECOS | 6901191675 |
| Professional Enrollment ID | I20170714000899 |
| Full Name | Michael Richardson |
| Organization Legal Name | ONE MEDICAL GROUP, PC |
| Address |
28 State St Suite 2850 Boston MA 02109-1775 |
| Phone Number | 6179035000 |
| Gender | M |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2163674300 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 185 Dartmouth St, Suite 603, Boston, MA 02116-5883 | 6172245351 | ONE MEDICAL GROUP, PC |
| 28 State St, Suite 2850, Boston, MA 02109-1775 | 6179035000 | ONE MEDICAL GROUP, PC |
| Organization Legal Name | ONE MEDICAL GROUP, PC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee Orsky | Physician Assistant | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| William J Meikrantz | Internal Medicine | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Shusmita Dhar | Pediatric Medicine | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Nicole Green | Physician Assistant | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Divya Dua | Internal Medicine | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Nicole M Pichette | Nurse Practitioner | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Julie A Sugarbaker | Nurse Practitioner | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Katrina Reiser | Nurse Practitioner | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Desmond James Watt | Physician Assistant | One Medical Group, PC | 181 W Madison St, Suite 3825, Chicago, IL 60602-4500 |
| Nicole Badie | Family Practice | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Street Address |
28 STATE ST SUITE 2850 |
| City | BOSTON |
| State | MA |
| Zip | 02109-1775 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee Orsky | Physician Assistant | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| William J Meikrantz | Internal Medicine | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Shusmita Dhar | Pediatric Medicine | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Nicole Green | Physician Assistant | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Divya Dua | Internal Medicine | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Nicole M Pichette | Nurse Practitioner | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Julie A Sugarbaker | Nurse Practitioner | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Katrina Reiser | Nurse Practitioner | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Nicole Badie | Family Practice | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charmaine B Stephens | Nurse Practitioner | Integrated Wound Care Massachusetts Pllc | 90 Fulton St, Boston, MA 02109-1422 |
| Corey Baechel | Psychologist, Clinical | Medoptions of Massachusetts LLC | 84 State St, Suite 660, Boston, MA 02109-2200 |
| Kathleen Jamieson-gargano | Nurse Practitioner | Medoptions of Massachusetts LLC | 84 State St, Suite 660, Boston, MA 02109-2200 |
| Leora Borek | Psychiatry | Medoptions of Massachusetts LLC | 84 State St, Suite 660, Boston, MA 02109-2200 |
| Jessica J Palmer | Clinical Social Worker | Medoptions of Massachusetts LLC | 84 State St, Suite 660, Boston, MA 02109-2200 |
| Allison M. Lawrence | Nurse Practitioner | Medoptions of Massachusetts LLC | 84 State St, Suite 660, Boston, MA 02109-2200 |
| Jessica Alef | Clinical Social Worker | Medoptions of Massachusetts LLC | 84 State St, Suite 660, Boston, MA 02109-2200 |
| Lucineia Tancredo | Nurse Practitioner | Medoptions of Massachusetts LLC | 84 State St, Suite 660, Boston, MA 02109-2200 |
| Karl J Toews | Psychologist, Clinical | Medoptions of Massachusetts LLC | 84 State St, Suite 660, Boston, MA 02109-2200 |
| Nanci A Otrando | Nurse Practitioner | Medoptions of Massachusetts LLC | 84 State St, Suite 660, Boston, MA 02109-2200 |
| Find all physicians in zip 02109 | |||
| City | BOSTON |
| Zip Code | 02109 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOSTON + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.