Organization Active NPI

WL Physicians P.C.

  • Surgery Physician
  • Madison Heights, MI
National Provider Identifier
1659416253
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301033364 Issued in MI
Legal business name
WL PHYSICIANS P.C.
Practice address
1385 E 12 Mile Rd Ste 200
Madison Heights, MI 48071-2649
Phone
(248) 284-1760
Fax
(248) 284-1780
NPI assigned
Feb 21, 2007
Last updated
Oct 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Dr. Michael H Wood, M.D, F.A.C.S.
Title
Owner
Phone
(248) 284-1760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301033364 MI Primary

Addresses

Primary practice location

1385 E 12 Mile Rd Ste 200
Madison Heights, MI 48071-2649

Mailing address

1385 E. 12 Mile Rd. Suite 200
Madison Hieghts, MI 48071
Phone (248) 284-1760

Other identifiers 2

IdentifierTypeStateIssuer
020E018760OtherMIBLUE CROSS BLUE SHIELD
104997338MedicaidMI

National Provider Directory

National Provider Directory

Locations

1385 E 12 Mile Rd
Ste 200
Madison Hts, MI 48071
Phone (248) 284-1760

29437 Ryan Rd
Warren, MI 48092
Phone (586) 582-9117

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1659416253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 E. 12 MILE RD. SUITE 200",
            "city": "MADISON HIEGHTS",
            "state": "MI",
            "postal_code": "48071",
            "telephone_number": "248-284-1760",
            "fax_number": "248-284-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 E 12 MILE RD STE 200",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712649",
            "telephone_number": "248-284-1760",
            "fax_number": "248-284-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WL PHYSICIANS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-284-1760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D, F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301033364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "020E018760",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104997338",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.