Michael Thomas Walsh, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008999 Issued in MI

Practice address

1537 N. Leroy St
Suite F
Fenton, MI 48430-2795

Phone

(810) 629-6500

Fax

(810) 629-6616

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Walsh Chiropractic & Wellness Center LLC

  • Chiropractor
  • Fenton, MI
  • NPI 1497838304
  Medicare reassignment NPD Authorized official
• Richard P. Stork D.C. PLLC

  • Chiropractor
  • Fenton, MI
  • NPI 1164690806
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1679599187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 HEDGEROW CIR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399788",
            "telephone_number": "810-715-2231",
            "fax_number": "810-733-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 N. LEROY ST",
            "address_2": "SUITE F",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302795",
            "telephone_number": "810-629-6500",
            "fax_number": "810-629-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4859841",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0B51355",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Alan Wagner, D.D.S.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walsh Chiropractic & Wellness Center LLC
• Stephanie Walter
• Haley Nicole Wanic, DNP, A-GNP
• Chavonna Michele Webb, PHARMD
• Alexis Marie Weber
• Anthony Joseph Weiss

• Chiropractor in Fenton, MI
• Providers in Fenton, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.