Paul J Drouillard, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

5101008177 Issued in MI

Practice address

6255 Inkster Rd
Suite 103
Garden City, MI 48135

Phone

(734) 422-8400

Fax

(734) 422-6273

NPI assigned

Jan 26, 2006

Last updated

Jul 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Midwestern University, Chicago College of Osteopathic Med, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Lakes OrthopaedicsGroup PAC ID 3779560818, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Home Health Services Home health agency, Garden City, MI, CCN 237144
• Garden City Hospital Hospital, Garden City, MI, CCN 230244

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/Freedom_GLO
• Direct secure messaging: pdrouillard@glo.emadirect.md
• Direct secure messaging: pdrouillard@glo2005.srs-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great Lakes Orthopaedics

  • Orthopaedic Surgery Physician
  • Garden City, MI
  • NPI 1740375518
  Medicare reassignment Care Compare group NPD
• Great Lakes Orthopaedics

  • Durable Medical Equipment & Medical Supplies
  • Garden City, MI
  • NPI 1063559391

  Orthopaedic Surgery

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services - Garden City LLC

  dba Garden City Hospital

  • General Acute Care Hospital
  • Garden City, MI
  • NPI 1043625940
  Care Compare affiliation
• United Home Health Services, Inc.

  • Home Health Agency
  • Canton, MI
  • NPI 1972562882
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1033189576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 103",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-422-8400",
            "fax_number": "734-422-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 103",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "48135",
            "telephone_number": "734-422-8400",
            "fax_number": "734-422-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROUILLARD",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101008177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2752040",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5823029",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Donald, PH.D CANDIDATE
• Anna Patricia Doubt
• David Doutsas, D.C.
• Michael Doutsas, D.C
• David Doyle, D.O.
• Chelsea K Duggan
• Lillian Durecki, RN
• Kevin Durell, D.O.
• Asia Edison
• Mountaha Eidy, DO

• Orthopaedic Surgery Physician in Garden City, MI
• Providers in Garden City, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.