Douglas Wigton, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5101007426 Issued in MI

Practice address

3271 Racquet Club Dr
Traverse City, MI 49684-4708

Phone

(231) 735-8006

Fax

(231) 735-8023

NPI assigned

Dec 21, 2005

Last updated

Sep 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

University of Michigan Medical School, 1973

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097
• Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Shepherd of Hope Clinic PC

  • General Practice Physician
  • Traverse City, MI
  • NPI 1225014715
  NPD Authorized official

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

• Kalkaska Memorial Health Center

  • Critical Access Hospital
  • Kalkaska, MI
  • NPI 1497751309
  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1184600116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 RACQUET CLUB DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844708",
            "telephone_number": "231-735-8006",
            "fax_number": "231-735-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 RACQUET CLUB DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844708",
            "telephone_number": "231-735-8006",
            "fax_number": "231-735-8023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 Hannah Ave",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496862963",
            "country_code": "US",
            "telephone_number": "231-946-7360",
            "fax_number": "231-929-4775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGTON",
        "first_name": "DOUGLAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101007426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100506",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridgett Widrig
• Jessica Wiemerslage
• Brent M Wiersema, D.O.
• Kristina Kaye Wiersema, LMSW
• Rebecca Louise Wiggins, NP
• Thomas J. Wigton, CRNA
• Svea Perai Kayann Wikstrand, PA-C
• David J Wilcox, DO
• Lillian Wilcox, BEHAVIOR TECHNICIAN
• Kobe M Wilder

• General Practice Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.

Verify at the official NPI Registry.