Individual provider Active NPI

John F Walling Jr., DO

  • Gastroenterology Physician
  • East Lansing, MI
National Provider Identifier
1073579512
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5101009749 Issued in MI
Practice address
1650 Ramblewood Dr
East Lansing, MI 48823-7396
Phone
(517) 332-1200
Fax
(517) 351-7122
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 5101009749 MI Primary

Addresses

Primary practice location

1650 Ramblewood Dr
East Lansing, MI 48823-7396

Mailing address

1650 Ramblewood Dr
East Lansing, MI 48823-7396
Phone (517) 332-1200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110107000632 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 7012908510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Troy Gastroenterology PCGroup PAC ID 9739143991, 47 clinicians

Practice addresses (Care Compare)

1650 Ramblewood Dr
Suite 100
East Lansing, MI 48823-7396
Phone (517) 332-1200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Upper gastrointestinal (GI) endoscopy for acid reflux56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Gastroenterology PC Gastroenterology CurrentSince Jul 1, 2021 Accepting new patients
Troy Gastroenterology, PC Current Accepting new patients
Pinnacle Anesthesia PLLC Past Accepting new patients

Locations

1650 Ramblewood Dr
Ste 100
East Lansing, MI 48823

1650 Ramblewood Dr
East Lansing, MI 48823
Phone 5173321200 ext. 248

1650 Ramblewood Dr
Ste 200
East Lansing, MI 48823
Phone (517) 332-0200

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

Interoperability endpoints

  • Direct secure messaging: jwalling622731@direct.hfhs.org

Organizations & group practices 3

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073579512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 RAMBLEWOOD DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237396",
            "telephone_number": "517-332-1200",
            "fax_number": "517-351-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 RAMBLEWOOD DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237396",
            "telephone_number": "517-332-1200",
            "fax_number": "517-351-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLING",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101009749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.