Gerald Dean Natzke Jr., DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

GN008130 Issued in MI

Practice address

2284 S Ballenger Hwy
Suite H
Flint, MI 48503-4653

Phone

(810) 233-5211

Fax

(810) 233-5740

NPI assigned

Mar 18, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1649239708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 S BALLENGER HWY",
            "address_2": "SUITE H",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034653",
            "telephone_number": "810-233-5211",
            "fax_number": "810-233-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 S BALLENGER HWY",
            "address_2": "SUITE H",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034653",
            "telephone_number": "810-233-5211",
            "fax_number": "810-233-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATZKE",
        "first_name": "GERALD",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "GN008130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5250046",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3048803",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talal Nasir, MD
• Wasim Nasir, MD
• Sharon Ruth Nassau, PH.D.
• National Seating & Mobility, Inc.
• National Vision, Inc.
• Alexander Naum
• Yasaman Navari, MD
• Navit Solutions LLC
• Navit Solutions LLC
• Vishal Ashokkumar Nayak, PHARMACIST

• General Practice Physician in Flint, MI
• Providers in Flint, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.