Waldon Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101015346 Issued in MI

Legal business name

WALDON INTERNAL MEDICINE

Practice address

5900 Waldon Rd
Ste C
Clarkston, MI 48346-4806

Phone

(248) 625-8730

Fax

(248) 625-9830

NPI assigned

Jun 30, 2008

Last updated

Jun 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hsiao Bechinski, DONPI 1861594962

Title

Owner

Phone

(248) 625-8730

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hsiao Bechinski, DO

  • Internal Medicine Physician
  • Clarkston, MI
  • NPI 1861594962
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1174785315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 WALDON RD",
            "address_2": "STE C",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464806",
            "telephone_number": "248-625-8730",
            "fax_number": "248-625-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDON INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "BECHINSKI",
        "authorized_official_first_name": "HSIAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-625-8730",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101015346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Nurse Services of Michigan (McLaren Home Medical)
• Zachary David Voyles
• Amy Wade
• Keely Louise Wagner, LLP, MS
• Lynette Ann Wagner, OTR/L
• Walgreen Co
• Walgreen Co (Walgreens #05171)
• Monica Walker, RN
• Rebecca Sue Walker, LLPC
• Virginia E Walker, MA CCC SLP

• Internal Medicine Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.