Jonathon R Wolocko, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301098851 Issued in MI

Practice address

1225 S Latson Rd Ste 260
Howell, MI 48843-7660

Phone

(810) 227-2767

Fax

(810) 227-2760

NPI assigned

May 18, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Wayne State University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwolocko1158080@direct.hfhs.org

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.

• Henry Ford Semi Medical Group

  • Internal Medicine Physician
  • Warren, MI
  • NPI 1376644922

  Family Medicine, MI

  Medicare reassignment Care Compare group NPD
• Primecare on Wixom PLLC

  • Family Medicine Physician
  • Novi, MI
  • NPI 1982103362

  Family Medicine, MI

  Medicare reassignment NPD
• Primecare Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Novi, MI
  • NPI 1174875140

  MI

  Medicare reassignment NPD
• Henry Ford Semi Medical Group

  • Endocrinology, Diabetes & Metabolism Physician
  • Novi, MI
  • NPI 1114133485
  NPD
• Ascension Macomb Oakland Hospital

  • Ophthalmology Physician
  • Madison Heights, MI
  • NPI 1114962461
  NPD (past)

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

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253

  Hospital

  Care Compare affiliation
• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1386937787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 S LATSON RD STE 260",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488437660",
            "telephone_number": "810-227-2767",
            "fax_number": "810-227-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S LATSON RD STE 260",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488437660",
            "telephone_number": "810-227-2767",
            "fax_number": "810-227-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOCKO",
        "first_name": "JONATHON",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301098851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Wlezniak, D.D.S.
• Jessica C Wojtys
• Angela Marie Wolcott, O.T.R.
• Denise Wolfe
• Katie Wolff, PT
• Kaelin Wood
• Mackenzie Lynn Wood
• Matthew S Woodruff, M.S., ATC
• Kevin Woodson
• Woodward Detroit CVS LLC

• All providers in Howell, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.

Verify at the official NPI Registry.