Active NPI
Gina Lynem-Walker, M.D.
- Internal Medicine Physician
- Dearborn, MI
National Provider Identifier
1699912923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301056506
- Practice address
- 19401 Hubbard Dr Ste 206
Dearborn, MI 48126-2641 - Phone
- (313) 982-4400
- NPI assigned
- Jan 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301056506 | MI | Primary |
Addresses
Primary practice location
19401 Hubbard Dr Ste 206
Dearborn, MI 48126-2641
Mailing address
7043 Alta Vista Dr
West Bloomfield, MI 48322-2772
Phone (248) 730-0134
Other practice location 1
27000 W 11 Mile Rd
Southfield, MI 48034-2200
Phone (248) 448-7510
Other names 1
- Dr. Gina Lynem-Hayden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Maplegrove Center | Past | Accepting new patients |
Interoperability endpoints
- glynemwalker206281@direct.hfhs.org
Organizations & group practices 1
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.
-
- Children's Substance Abuse Rehabilitation Facility
- West Bloomfield, MI
- NPI 1295767630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1699912923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7043 ALTA VISTA DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222772",
"telephone_number": "248-730-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 HUBBARD DR STE 206",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262641",
"telephone_number": "313-982-4400"
}
],
"practiceLocations": [
{
"address_1": "27000 W 11 Mile Rd",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480342200",
"country_code": "US",
"telephone_number": "248-448-7510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYNEM-WALKER",
"first_name": "GINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-08",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301056506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "LYNEM-HAYDEN",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.