Active NPI
Walter J Filipek MD
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- South Bend, IN
National Provider Identifier
1720246572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- License
- 01024470B
- Legal business name
- WALTER J FILIPEK MD
- Practice address
- 707 N Michigan Street
# 318
South Bend, IN 46601-1070 - Phone
- (574) 288-8000
- Fax
- (574) 288-8088
- NPI assigned
- May 29, 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
- Walter J Filipek, MD
- Title
- Owner Physician
- Phone
- (574) 288-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | 01024470B | IN | Primary |
Addresses
Primary practice location
707 N Michigan Street
# 318
South Bend, IN 46601-1070
Mailing address
707 N Michigan Street
# 318
South Bend, IN 46601-1070
Phone (574) 288-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100186060A | Medicaid | IN | |
| 000000213208 | Other | IN | BCBS |
National Provider Directory
National Provider DirectoryLocations
707 N Michigan St
Ste 318
South Bend, IN 46601
Phone (219) 288-8000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212019200000",
"number": "1720246572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 N MICHIGAN STREET",
"address_2": "# 318",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011070",
"telephone_number": "574-288-8000",
"fax_number": "574-288-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N MICHIGAN STREET",
"address_2": "# 318",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011070",
"telephone_number": "574-288-8000",
"fax_number": "574-288-8088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALTER J FILIPEK MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-29",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "FILIPEK",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER PHYSICIAN",
"authorized_official_telephone_number": "574-288-8000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist",
"state": "IN",
"license": "01024470B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100186060A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000213208",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.