NPIMap

Organization Active NPI

Marie G Walsh, MD, PLC

  • Primary Care Clinic/Center
  • Lapeer, MI
National Provider Identifier
1609101807
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MA074465 Issued in MI
Legal business name
MARIE G WALSH, MD, PLC
Practice address
3273 Davison Rd
Suite 1
Lapeer, MI 48446
Phone
(810) 667-6112
Fax
(810) 667-6155
NPI assigned
Oct 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Marie Geralyn Walsh, MD
Title
Owner/Physician
Phone
(810) 667-6112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MA074465 MI Primary

Addresses

Primary practice location

3273 Davison Rd
Suite 1
Lapeer, MI 48446

Mailing address

3273 Davison Rd
Suite 1
Lapeer, MI 48446
Phone (810) 667-6112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1609101807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3273 DAVISON RD",
            "address_2": "SUITE 1",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "48446",
            "telephone_number": "810-667-6112",
            "fax_number": "810-667-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3273 DAVISON RD",
            "address_2": "SUITE 1",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "48446",
            "telephone_number": "810-667-6112",
            "fax_number": "810-667-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE G WALSH, MD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "GERALYN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "810-667-6112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "MA074465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.