Michael Paul Girouard, MD
Individual provider Active NPI Specialist · Huntersville, IN
NPI 1457554537 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457554537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 16507 Northcross Dr. Ste F
Huntersville, IN 28078-5082 - Phone
- (704) 766-1000
- Fax
- (704) 766-1002
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 13, 2012 through Dec 13, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174400000X | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael P Girouard, MD Weight Loss and Wellness Clinic, PLLC | Past | Accepting new patients | |
| Let'Sgetthinmd, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NC | Yes |
Addresses
Primary practice location
16507 Northcross Dr. Ste F
Huntersville, IN 28078-5082
Mailing address
16507 Northcross Dr. Ste F
Huntersville, IN 28078-5082
Phone (704) 766-1000
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.