Active NPI
WL Physicians P.C.
- Surgery Physician
- Madison Heights, MI
National Provider Identifier
1659416253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301033364
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020E018760 | Other | MI | BLUE CROSS BLUE SHIELD |
| 104997338 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.