Active NPI
Paul E Thielking, MD
- Obstetrics & Gynecology Physician
- Howell, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301054423
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Trinity Health Ann Arbor Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301054423 | MI | MD | Obstetrics & Gynecology Physician |
| PT054423 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Obstetrics & Gynecology | Current | 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
- pthielking37010@direct.trinity-health.org
- 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.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Obstetrics & Gynecology Physician
- Brighton, MI
- NPI 1467873828
-
- Obstetrics & Gynecology Physician
- Ann Arbor, MI
- NPI 1235286840
-
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.