Active NPI
Despina Zefiras Walsworth, M.D.
- Obstetrics & Gynecology Physician
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301082367
- Practice address
- 17940 Farmington Road
Livonia, MI 48152 - Phone
- (248) 423-2410
- Fax
- (248) 423-2576
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301082367 | MI | Primary |
Addresses
Primary practice location
17940 Farmington Road
Livonia, MI 48152
Mailing address
3601 W. 13 Mile Road 400 FSC
Physician Contract Services
Royal Oak, MI 48073
Phone (248) 423-2410
Other practice location 1
3960 W Royal Dr
Traverse City, MI 49684-9200
Phone (231) 947-0404
Other practice location 2
14651 W Upright St
Charlevoix, MI 49720-1266
Phone (231) 547-4477
Other practice location 3
829 N Center Ave Ste 200
Gaylord, MI 49735-1598
Phone (989) 731-2105
Other practice location 4
7985 S Mackinaw Trl
Cadillac, MI 49601-8111
Phone (231) 876-6100
Other practice location 5
1250 E Michigan Ave Ste C
Grayling, MI 49738-7074
Phone (989) 348-0550
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
- Obstetrics/Gynecology
- Education
- Wayne State University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11885 E 12 Mile
202A Macomb Academic Clinic OB GYN
Warren, MI 48093-3469
Phone (586) 582-7090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301082367 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Grayling | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Munson Healthcare Grayling | Current | Accepting new patients | |
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Pathology Specialists of Southeast Michigan PC | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients | |
| Munson Healthcare Grayling | Current | Accepting new patients | |
| Oakwood Ambulatory, LLC | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Jure Grahovac, M.D., P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Oakwood Ambulatory LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Munson Healthcare Grayling | Past | Accepting new patients | |
| Munson Healthcare Cadillac | Past | Accepting new patients |
Locations
3781 Momentum Pl
Chicago, IL 60689
3782 Momentum Pl
Chicago, IL 60689
7445 Allen Rd
Ste 190
Allen Park, MI 48101
Phone (313) 382-0151
201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
7985 S Mackinaw Trl
Cadillac, MI 49601
Phone (231) 825-8101
14651 W Upright St
Charlevoix, MI 49720
Phone (231) 547-4477
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
829 N Center Ave
Ste 200
Gaylord, MI 49735
Phone (989) 731-2105
829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
1250 E Michigan Ave
Ste C
Grayling, MI 49738
Phone (989) 348-0550
1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550
27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326
3601 W 13 Mile Rd
#400
Royal Oak, MI 48073
Phone (248) 423-2481
3601 W 13 Mile Rd
Royal Oak, MI 48073
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
11885 E 12 Mile Rd
Ste 202A
Warren, MI 48093
Phone (586) 582-7060
11012 E 13 Mile Rd
Ste 212
Warren, MI 48093
Phone (586) 582-7090
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61308
- https://fhir-myrecord.cerner.com/r4/d63001e8-2b2d-46b2-9b8b-4bc37428b829/
Organizations & group practices 23
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.
-
- Family Medicine Physician
- Warren, MI
- NPI 1134176472
Obstetrics & Gynecology
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- Obstetrics & Gynecology Physician
- Dearborn, MI
- NPI 1629158167
-
- Rural Health Clinic/Center
- MC Bain, MI
- NPI 1336539063
-
- Otolaryngology Physician
- Charlevoix, MI
- NPI 1629154307
Obstetrics & Gynecology
-
- Rural Health Clinic/Center
- Roscommon, MI
- NPI 1710383351
-
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1164628426
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1003829441
Obstetrics & Gynecology
-
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1912965088
Obstetrics & Gynecology
-
- Psychiatry Physician
- Traverse City, MI
- NPI 1720955081
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1265554216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W. 13 MILE ROAD 400 FSC",
"address_2": "PHYSICIAN CONTRACT SERVICES",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "248-423-2410",
"fax_number": "248-423-2576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17940 FARMINGTON ROAD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48152",
"telephone_number": "248-423-2410",
"fax_number": "248-423-2576"
}
],
"practiceLocations": [
{
"address_1": "3960 W Royal Dr",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496849200",
"country_code": "US",
"telephone_number": "231-947-0404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14651 W Upright St",
"address_purpose": "LOCATION",
"city": "Charlevoix",
"state": "MI",
"postal_code": "497201266",
"country_code": "US",
"telephone_number": "231-547-4477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "829 N Center Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Gaylord",
"state": "MI",
"postal_code": "497351598",
"country_code": "US",
"telephone_number": "989-731-2105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7985 S Mackinaw Trl",
"address_purpose": "LOCATION",
"city": "Cadillac",
"state": "MI",
"postal_code": "496018111",
"country_code": "US",
"telephone_number": "231-876-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Michigan Ave Ste C",
"address_purpose": "LOCATION",
"city": "Grayling",
"state": "MI",
"postal_code": "497387074",
"country_code": "US",
"telephone_number": "989-348-0550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSWORTH",
"first_name": "DESPINA",
"middle_name": "ZEFIRAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301082367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.