Active NPI
Marie G Walsh, MD
- Internal Medicine Physician
- Marysville, MI
National Provider Identifier
1568413482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301074465
- Practice address
- 1985 Gratiot Ave
Suite 2a
Marysville, MI 48040-1200 - Phone
- (810) 364-5050
- Fax
- (810) 364-5688
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301074465 | MI | Primary |
Addresses
Primary practice location
1985 Gratiot Ave
Suite 2a
Marysville, MI 48040-1200
Mailing address
PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4872208-10 | Medicaid | MI | |
| 1568413482 | Other | MI | NPI # |
| 0D40029 | Other | MI | BCBS GROUP PIN FOR LAPEER |
| 1609101807 | Other | MI | NPI GROUP |
| MA074465 | Other | MI | STATE ID |
| 70-0-F32947-0 | Other | MI | BCBS CPIN # |
| 1106323752 | Other | MI | BCBS ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Internal Medicine | Past | Accepting new patients |
| Inpatient Consultants of Michigan PC | Internal Medicine | Past | Accepting new patients |
| Marie G Walsh MD PLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Physician
- Lapeer, MI
- NPI 1215264890
-
- Hospitalist Physician
- Livonia, MI
- NPI 1861442824
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1568413482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1239",
"city": "TROY",
"state": "MI",
"postal_code": "480991239",
"telephone_number": "248-824-6600",
"fax_number": "248-324-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 GRATIOT AVE",
"address_2": "SUITE 2A",
"city": "MARYSVILLE",
"state": "MI",
"postal_code": "480401200",
"telephone_number": "810-364-5050",
"fax_number": "810-364-5688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "MARIE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301074465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4872208-10",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI #",
"identifier": "1568413482",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP PIN FOR LAPEER",
"identifier": "0D40029",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP",
"identifier": "1609101807",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "MA074465",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CPIN #",
"identifier": "70-0-F32947-0",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "1106323752",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marysville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.