Active NPI
Daniel Peter Michalak, M.D.
- Obstetrics & Gynecology Physician
- Wilson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 28063
- Practice address
- 2500 Horton Blvd SW
Wilson, NC 27893-4444 - Phone
- (252) 206-1000
- Fax
- (252) 237-7284
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 28063 | NC | Primary |
Addresses
Primary practice location
2500 Horton Blvd SW
Wilson, NC 27893-4444
Mailing address
2500 Horton Blvd SW
Wilson, NC 27893-4444
Phone (252) 206-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Hahneman Medical College of the Pacific, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
303 Green St E
Wilson, NC 27893-4105
Phone (252) 243-9800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28063 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Family Health Centers, Inc | Current | Accepting new patients | |
| Carolina Family Health Centers, Inc | Current | Accepting new patients | |
| Wilson OB/GYN, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Carolina Family Health Centers, Inc | Current | Accepting new patients | |
| Wilson Medical Center, Inc. | Past | Accepting new patients |
Locations
8250 NC 58 S
Elm City, NC 27822
Phone (252) 443-7744
162 NC Highway 33 E
Tarboro, NC 27886
Phone (252) 641-0514
303 Green St E
Wilson, NC 27893
Phone (252) 243-9800
2500 Horton Blvd SW
Wilson, NC 27893
Phone (252) 206-1000
Interoperability endpoints
- dmichalak631073@direct.ochin.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Wilson, NC
- NPI 1184792103
-
- Obstetrics & Gynecology Physician
- Wilson, NC
- NPI 1255390225
-
- Federally Qualified Health Center (FQHC)
- Wilson, NC
- NPI 1518440734
-
- Federally Qualified Health Center (FQHC)
- Tarboro, NC
- NPI 1770651655
-
- Gastroenterology Physician
- Wilson, NC
- NPI 1235422510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261008000000",
"number": "1841276540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 HORTON BLVD SW",
"city": "WILSON",
"state": "NC",
"postal_code": "278934444",
"telephone_number": "252-206-1000",
"fax_number": "252-237-7284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 HORTON BLVD SW",
"city": "WILSON",
"state": "NC",
"postal_code": "278934444",
"telephone_number": "252-206-1000",
"fax_number": "252-237-7284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHALAK",
"first_name": "DANIEL",
"middle_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2009-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "28063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.