Individual provider Active NPI

Henry Paul Szelag, D.O.

  • Family Medicine Physician
  • Weidman, MI
National Provider Identifier
1316044613
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101009907 Issued in MI
Practice address
3520 North Woodruff Road
Weidman, MI 48893
Phone
(989) 644-3329
Fax
(989) 644-3724
NPI assigned
Sep 20, 2006
Last updated
Oct 22, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101009907 MI Primary

Addresses

Primary practice location

3520 North Woodruff Road
Weidman, MI 48893

Mailing address

3520 North Woodruff Road
PO Box 36
Weidman, MI 48893
Phone (989) 644-3329

Other identifiers 3

IdentifierTypeStateIssuer
2580358MedicaidMI
0853701254OtherMIBCBS
0853700035OtherMIBCBS

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
I20040305000114 MI Practitioner - Family PracticePractitioner - General Practice 0547157745 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan Family Medicine CurrentSince Oct 1, 2013 Accepting new patients
McLaren Central Michigan CurrentSince Oct 1, 2013 Accepting new patients

Locations

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1316044613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 NORTH WOODRUFF ROAD",
            "address_2": "PO BOX 36",
            "city": "WEIDMAN",
            "state": "MI",
            "postal_code": "48893",
            "telephone_number": "989-644-3329",
            "fax_number": "989-644-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 NORTH WOODRUFF ROAD",
            "city": "WEIDMAN",
            "state": "MI",
            "postal_code": "48893",
            "telephone_number": "989-644-3329",
            "fax_number": "989-644-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZELAG",
        "first_name": "HENRY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2580358",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0853701254",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0853700035",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weidman, MI

Sources for this page

Verify at the official NPI Registry.