Timothy T Wellemeyer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TW044920 Issued in MI

Practice address

4378 Holt Rd
Holt, MI 48842-1666

Phone

(517) 694-1466

Fax

(517) 694-3530

NPI assigned

May 3, 2006

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

Other identifiers 5

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• McLaren Medical Group

  • Family Medicine Physician
  • Lapeer, MI
  • NPI 1346396066
  Medicare reassignment NPD
• McLaren Medical Group

  • Diagnostic Radiology Physician
  • Lapeer, MI
  • NPI 1073650750
  NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1407814916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4378 HOLT RD",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421666",
            "telephone_number": "517-694-1466",
            "fax_number": "517-694-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4378 HOLT RD",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421666",
            "telephone_number": "517-694-1466",
            "fax_number": "517-694-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLEMEYER",
        "first_name": "TIMOTHY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "TW044920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "TW044920",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN OF",
            "identifier": "0100235",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102805476",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN BLUE CARE NETWORK",
            "identifier": "TW044920",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN OF",
            "identifier": "0170235",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myrna Walters
• Anna M. Walton, MA, LLPC
• Shiloh Wehr, LPC
• Ellyse Marie Weigelt
• Lauren Weikel, ATC
• Sally Ann Wesseldyk
• Dana Joseph William
• Tyler G Wilson, DPT, OMPT
• Meghan K Wise, RDN
• Woodward Detroit CVS, L.L.C.

• Family Medicine Physician in Holt, MI
• Providers in Holt, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.