RICHARD A AXTELL MD
NPI 1932170065
Pediatrics - Pediatric Hematology-Oncology in Grand Rapids, MI

Active since January 27, 2006
100 MICHIGAN ST NE, MC 249, GRAND RAPIDS, MI 49503(616) 267-1925(616) 267-1005 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard A Axtell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD A AXTELL MD (NPI 1932170065) is an individual pediatric hematology-oncology provider in Grand Rapids, Michigan, licensed in Michigan (4301048203) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1932170065
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameRICHARD A AXTELLCredential: MD
Location Address100 MICHIGAN ST NE, MC 249Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Fax(616) 267-1005
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateApril 3, 2013
NPI 1932170065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in MI · 4301048203
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
100 MICHIGAN ST NE, Grand Rapids, MI 49503

Other Identifiers 4

Other1104134811MI · Bcbsm
Medicare UPINB48782MI
Medicare ID-Type UnspecifiedD16256007MI · Group #
Medicaid2841427MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Axtell's NPI number?

The NPI number for Richard Axtell is 1932170065. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Richard Axtell located?

Richard Axtell practices at 100 Michigan St NE Mc 249, Grand Rapids, MI 49503. The listed phone number is (616) 267-1925.

What is Richard Axtell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

When was this NPI record last updated?

The NPPES record for Richard Axtell was last updated on April 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.