Individual provider Active NPI

Walid M Azmeh, M.D.

  • Surgery Physician
  • Owosso, MI
National Provider Identifier
1063527182
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301035298 Issued in MI
Practice address
818 W King St
Ste 201
Owosso, MI 48867-2116
Phone
(989) 723-3168
Fax
(989) 725-2962
NPI assigned
Aug 20, 2006
Last updated
Mar 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301035298 MI Primary

Addresses

Primary practice location

818 W King St
Ste 201
Owosso, MI 48867-2116

Mailing address

818 W King St
Ste 201
Owosso, MI 48867-2116
Phone (989) 723-3168

Other identifiers 1

IdentifierTypeStateIssuer
1063527182MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: walidazmeh@memh.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1063527182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W KING ST",
            "address_2": "STE 201",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672116",
            "telephone_number": "989-723-3168",
            "fax_number": "989-725-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W KING ST",
            "address_2": "STE 201",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672116",
            "telephone_number": "989-723-3168",
            "fax_number": "989-725-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZMEH",
        "first_name": "WALID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301035298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063527182",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.