Michael Wayne, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101007297 Issued in MI

Practice address

42931 7 Mile Rd
Northville, MI 48167-2277

Phone

(248) 348-2442

Fax

(248) 348-4914

NPI assigned

Sep 22, 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 1

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 Osteopathy

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.

• VMD Primary Providers Eastern Michigan, PC

  • Family Medicine Physician
  • Novi, MI
  • NPI 1336625540
  Medicare reassignment NPD
• Envision Medical Group PLLC

  • Family Medicine Physician
  • Northville, MI
  • NPI 1578891750
  NPD Authorized official
• Envision Medical Group PLLC

  • Family Medicine Physician
  • Northville, MI
  • NPI 1821391848
  NPD Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1629177035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27275 HAGGERTY RD STE 500",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773635",
            "telephone_number": "248-741-6907",
            "fax_number": "248-721-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42931 7 MILE RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672277",
            "telephone_number": "248-348-2442",
            "fax_number": "248-348-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNE",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101007297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "383509551",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Warra
• Eric Andrew Waselewski, MD
• Watkins Afc Family Home L.L.C.
• Megan Watson, DO
• Emily Waugh
• Ashley Weaver, PT
• Katherine Weaver, LLMSW
• Kassandra Jo Weber, MD
• Kelsey Weinreich, RBT
• Carol Welch-Plaskey

• Family Medicine Physician in Northville, MI
• Providers in Northville, 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 Feb 3, 2021; 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.