Individual provider Active NPI

Linda Fisherwilliams, D.O.

  • Family Medicine Physician
  • Holt, MI
National Provider Identifier
1346429305
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008410 Issued in MI
Practice address
2450 Delhi Commerce Dr
Suite 4
Holt, MI 48842-2193
Phone
(517) 699-3820
Fax
(517) 699-3824
NPI assigned
Oct 26, 2007
Last updated
Feb 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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 5101008410 MI Primary

Addresses

Primary practice location

2450 Delhi Commerce Dr
Suite 4
Holt, MI 48842-2193

Mailing address

2450 Delhi Commerce Dr
Suite 4
Holt, MI 48842-2193
Phone (517) 699-3820

Other identifiers 2

IdentifierTypeStateIssuer
LF008410OtherMISTATE LIC #
0153311304OtherMIBCBS PIN

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
I20071103000129 MI Practitioner - Family Practice 4981791118 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Internal Medicine Associates P.C. Family Medicine CurrentSince Oct 1, 2007 Accepting new patients

Locations

2450 Delhi Commerce Dr
Ste 4
Holt, MI 48842
Phone (517) 699-3820

3955 Patient Care Dr
Lansing, MI 48911
Phone (517) 374-7600

3955 Patient Care Dr
Ste A
Lansing, MI 48911
Phone (517) 374-7600

3960 Patient Care Dr
Ste 109
Lansing, MI 48911
Phone (517) 574-5645

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, 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": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1346429305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 DELHI COMMERCE DR",
            "address_2": "SUITE 4",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422193",
            "telephone_number": "517-699-3820",
            "fax_number": "517-699-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 DELHI COMMERCE DR",
            "address_2": "SUITE 4",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422193",
            "telephone_number": "517-699-3820",
            "fax_number": "517-699-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHERWILLIAMS",
        "first_name": "LINDA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC #",
            "identifier": "LF008410",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "0153311304",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MI

Sources for this page

Verify at the official NPI Registry.