Individual provider Active NPI

Lisa Marie Helmick, D.O.

  • Obstetrics & Gynecology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1265624050
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101016558 Issued in MI
Practice address
2525 S Telegraph Rd
Suite 201
Bloomfield Hills, MI 48302-0286
Phone
(248) 338-0100
Fax
(248) 977-3014
NPI assigned
Aug 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101016558 MI Primary

Addresses

Primary practice location

2525 S Telegraph Rd
Suite 201
Bloomfield Hills, MI 48302-0286

Mailing address

2525 S Telegraph Rd
Suite 201
Bloomfield Hills, MI 48302-0286
Phone (248) 338-0100

Other identifiers 1

IdentifierTypeStateIssuer
160F36364OtherMIBCBS OF MICHIGAN

Other names 1

  • Lisa Marie Moore Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090902000317 MI Practitioner - Obstetrics/Gynecology 7113072844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Obstetrics and Gynecology PCGroup PAC ID 5092787051, 4 clinicians

Practice addresses (Care Compare)

2525 S Telegraph Rd
Suite 201
Bloomfield, MI 48302-0289
Phone (248) 338-0100

Hospital & facility affiliations

  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101016558MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Obstetrics & Gynecology, P.C. Obstetrics & Gynecology CurrentSince Sep 1, 2009 Accepting new patients

Locations

2525 S Telegraph Rd
Ste 201
Bloomfld Hls, MI 48302
Phone (248) 338-0100

7210 N Main St
Ste 210
Clarkston, MI 48346
Phone (248) 620-2800

Interoperability endpoints

  • Direct secure messaging: lhelmick59577@direct.hfhs.org
  • Direct secure messaging: lhelmick36973@direct.trinity-health.org

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1265624050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S TELEGRAPH RD",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020286",
            "telephone_number": "248-338-0100",
            "fax_number": "248-977-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S TELEGRAPH RD",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020286",
            "telephone_number": "248-338-0100",
            "fax_number": "248-977-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMICK",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101016558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "160F36364",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MOORE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.