Active NPI
Michael John Gasiewicz, D.C.
- Chiropractor
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010119
- Practice address
- 27253 Van Dyke Ave
Warren, MI 48093-2858 - Phone
- (586) 459-5692
- Fax
- (586) 459-5635
- NPI assigned
- Sep 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010119 | MI | Primary |
Addresses
Primary practice location
27253 Van Dyke Ave
Warren, MI 48093-2858
Mailing address
37037 Twin CT
Sterling Heights, MI 48312-2178
Phone (586) 265-1260
Other practice location 1
30900 Ford Rd
Suite C
Garden City, MI 48135-1892
Phone (734) 838-0353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
16453 Chatham Dr
Macomb, MI 48044-4071
27253 Van Dyke Ave
Warren, MI 48093-2858
30900 Ford Rd C
Garden City, MI 48135-1892
431 Summit St
Elgin, IL 60120-3805
569 E 9 Mile Rd
Ferndale, MI 48220-1952
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301010119 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcare Inc | Current | Accepting new patients | |
| Dr. Bridget a. Devlin, PLLC | Chiropractor | Current | Accepting new patients |
| Michigan Chiropractic Specialists of Waterford, P.C. | Chiropractor | Past | Accepting new patients |
Locations
569 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 298-3100
2243 E 12 Mile Rd
Warren, MI 48092
Phone (586) 573-8100
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.
-
- Chiropractor
- Ferndale, MI
- NPI 1124215793
-
- Rehabilitation Chiropractor
- Warren, MI
- NPI 1265713242
-
- Chiropractor
- Waterford, MI
- NPI 1740336767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1124453360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37037 TWIN CT",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483122178",
"telephone_number": "586-265-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27253 VAN DYKE AVE",
"city": "WARREN",
"state": "MI",
"postal_code": "480932858",
"telephone_number": "586-459-5692",
"fax_number": "586-459-5635"
}
],
"practiceLocations": [
{
"address_1": "30900 Ford Rd",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "MI",
"postal_code": "481351892",
"country_code": "US",
"telephone_number": "734-838-0353",
"fax_number": "734-838-0359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GASIEWICZ",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-06",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.