Individual provider Active NPI

Joseph L Walkiewicz, D.O.

  • Orthopaedic Surgery Physician
  • Garden City, MI
National Provider Identifier
1396716544
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
9887 Issued in MI
Practice address
6255 Inkster Rd
Suite 103
Garden City, MI 48135-2577
Phone
(734) 422-8400
Fax
(734) 422-8563
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 9887 MI Primary

Addresses

Primary practice location

6255 Inkster Rd
Suite 103
Garden City, MI 48135-2577

Mailing address

6255 Inkster Rd
Suite 103
Garden City, MI 48135-2577
Phone (734) 422-8400

Other identifiers 2

IdentifierTypeStateIssuer
5824545OtherMIBCBSM
2918756MedicaidMI

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
I20080721000611 MI Practitioner - Orthopedic Surgery 5092617423 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9887MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Orthopaedics Orthopaedic Surgery CurrentSince Dec 10, 1992 Accepting new patients
Great Lakes Orthopaedics Orthopaedic Surgery CurrentSince Dec 10, 1992 Accepting new patients

Locations

6255 Inkster Rd
Ste 103
Garden City, MI 48135
Phone (313) 422-8400

Interoperability endpoints

  • Direct secure messaging: jwalkiewicz@glo2005.srs-direct.com
  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_GLO
  • Direct secure messaging: jwalkiewicz@glo.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1396716544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 103",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-422-8400",
            "fax_number": "734-422-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 103",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-422-8400",
            "fax_number": "734-422-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKIEWICZ",
        "first_name": "JOSEPH",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "9887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5824545",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2918756",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.