NPIMap

Individual provider Active NPI

William A. Athens Jr., D.O.

  • Orthopaedic Surgery Physician
  • Brownstown, MI
National Provider Identifier
1568433191
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
WA011454 Issued in MI
Practice address
25755 Telegraph Rd
Brownstown, MI 48134-1013
Phone
(734) 782-7003
Fax
(734) 782-7005
NPI assigned
Jan 31, 2006
Last updated
Dec 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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 WA011454 MI Primary

Addresses

Primary practice location

25755 Telegraph Rd
Brownstown, MI 48134-1013

Mailing address

25755 Telegraph Rd
Brownstown, MI 48134-1013
Phone (734) 782-7003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060811000097 MI Practitioner - Orthopedic Surgery 2860495835 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Orthopedics PCGroup PAC ID 6406859479, 4 clinicians

Practice addresses (Care Compare)

25755 Telegraph Rd
Brownstown, MI 48134-1013
Phone (734) 782-7003

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement19
Knee replacement44
Spinal fusion1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WA011454MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Orthopaedic Surgery CurrentSince Apr 1, 2019 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Apr 1, 2019 Accepting new patients
Precision Orthopedics PC Orthopaedic Surgery CurrentSince Jul 1, 2006 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Apr 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

25755 Telegraph Rd
Flat Rock, MI 48134
Phone (734) 362-9080

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • Direct secure messaging: jathens1223814@epic00.shdirect.org
  • Direct secure messaging: wathens61878@direct.hfhs.org
  • Direct secure messaging: william.athens.1@11987.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1568433191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25755 TELEGRAPH RD",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481341013",
            "telephone_number": "734-782-7003",
            "fax_number": "734-782-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25755 TELEGRAPH RD",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481341013",
            "telephone_number": "734-782-7003",
            "fax_number": "734-782-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHENS",
        "first_name": "WILLIAM",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "WA011454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

Verify at the official NPI Registry.