Individual provider Active NPI

Paul E Thielking, MD

  • Obstetrics & Gynecology Physician
  • Howell, MI
National Provider Identifier
1346285335
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301054423 Issued in MI
Practice address
524 Byron
Howell, MI 48843
Phone
(517) 545-6618
Fax
(517) 545-6485
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X PT054423 MI
Obstetrics & Gynecology Physician 207V00000X 4301054423 MI Primary

Addresses

Primary practice location

524 Byron
Howell, MI 48843

Mailing address

24 Frank Lloyd Wright Dr.
PO Box 0446 Lobby J
Ann Arbor, MI 48106
Phone (734) 747-6766

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
I20051118000117 MI Practitioner - Obstetrics/Gynecology 1557380599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

2305 Genoa Bus Park Dr
Brighton, MI 48114-7005

620 Byron Rd
Howell, MI 48843-1002

Hospital & facility affiliations

  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301054423MIMDObstetrics & Gynecology Physician
PT054423MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Obstetrics & Gynecology CurrentSince Feb 15, 2014 Accepting new patients
Iha Health Services Corporation Obstetrics & Gynecology Current Accepting new patients
St Joseph Mercy Hospital Past Accepting new patients
Iha Health Services Corporation Past Accepting new patients
Iha Health Services Corporation Obstetrics & Gynecology Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

Interoperability endpoints

  • Direct secure messaging: pthielking37010@direct.trinity-health.org
  • Direct secure messaging: pthielki@direct.dmc.org

Organizations & group practices 5

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 2

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1346285335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR.",
            "address_2": "PO BOX 0446 LOBBY J",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48106",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 BYRON",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "48843",
            "telephone_number": "517-545-6618",
            "fax_number": "517-545-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELKING",
        "first_name": "PAUL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "PT054423",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301054423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.