Active NPI
Walter Thad Rathkamp, M.D.
- Family Medicine Physician
- Freeland, MI
National Provider Identifier
1164406146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301068143
- Practice address
- 7340 Midland Rd
Freeland, MI 48623 - Phone
- (989) 695-8014
- Fax
- (989) 695-5810
- NPI assigned
- Dec 2, 2005
- Last updated
- Oct 11, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301068143 | MI | Primary |
Addresses
Primary practice location
7340 Midland Rd
Freeland, MI 48623
Mailing address
7340 Midland Rd
Freeland, MI 48623-8402
Phone (989) 695-8014
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00110021 | Other | MI | RR MEDICARE |
| 4527494 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7340 Midland Rd
Freeland, MI 48623-8402
Phone (989) 695-8014
Hospital & facility affiliations
- Covenant at Home
- Elara Caring
- Covenant Medical Center
- Mymichigan Medical Center Midland
- McLaren Bay Region
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301068143 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc | Family Medicine | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Current | Accepting new patients |
Locations
7340 Midland Rd
Freeland, MI 48623
Phone (989) 695-2123
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000
8767 Gratiot Rd
Saginaw, MI 48609
Phone (517) 781-8000
Interoperability endpoints
- wrathkamp1219@direct.covenanthealthcare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Covenant HealthCare
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
- Family Medicine Physician
- Freeland, MI
- NPI 1669410072
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Covenant Healthcare
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
-
dba Family Practice Center
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
-
dba Covenant Visiting Nurse Association
- Home Health Agency
- Saginaw, MI
- NPI 1073595245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1164406146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7340 MIDLAND RD",
"city": "FREELAND",
"state": "MI",
"postal_code": "486238402",
"telephone_number": "989-695-8014",
"fax_number": "989-695-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7340 MIDLAND RD",
"city": "FREELAND",
"state": "MI",
"postal_code": "48623",
"telephone_number": "989-695-8014",
"fax_number": "989-695-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHKAMP",
"first_name": "WALTER",
"middle_name": "THAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301068143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00110021",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4527494",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Freeland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.