Organization Active NPI

Walter J Filipek MD

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • South Bend, IN
National Provider Identifier
1720246572
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
License
01024470B Issued in IN
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

Updated by the provider on May 29, 2008

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)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100186060AMedicaidIN
000000213208OtherINBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.