Billy Ralph Nordyke Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101018163 Issued in MI

Practice address

2201 Ford Ave
Wyandotte, MI 48192-2314

Phone

(734) 258-8835

Fax

(734) 258-8885

NPI assigned

Jul 6, 2006

Last updated

May 31, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Specialty

Family Practice

Education

Lake Erie College of Osteopathic Medicine, Erie, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: bnordyke536911@direct.hfhs.org
• Direct secure messaging: billy.nordyke.1@18306.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Billy R Nordyke Jr DO PC

  dba Nordyke Family Medicine

  • Family Medicine Physician
  • Wyandotte, MI
  • NPI 1235619065
  Medicare reassignment Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Wyandotte Hospital

  dba Henry Ford Health Center Brownstown

  • Ambulatory Surgical Clinic/Center
  • Wyandotte, MI
  • NPI 1093901035

  Hospital

  Care Compare affiliation
• Henry Ford Wyandotte Hospital

  • General Acute Care Hospital
  • Wyandotte, MI
  • NPI 1992725352
  Care Compare affiliation
• Oakwood Healthcare Inc

  dba Beaumont Outpatient Diabetes Education

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  dba Beaumont Hospital - Dearborn

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1700817558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922314",
            "telephone_number": "734-258-8835",
            "fax_number": "734-258-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922314",
            "telephone_number": "734-258-8835",
            "fax_number": "734-258-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDYKE",
        "first_name": "BILLY",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101018163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loan Nguyen
• Timothy Craig Nicaise Jr., NP
• Zerillda Krista Nicita, ACNP-BC
• Nod-Prime Rheumatology Specialists PLLC
• Amanda Nonis
• Don Francis Novak, MA
• Nsima Usen, DPM, MPH, P.C
• Kolleen Faye O'Leary, R.D.H.
• Nicole Jonelle O'Neill, MD
• Toni C Ochs, RDH

• Family Medicine Physician in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.
• 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.