Individual provider Active NPI

Timothy James Doig, D.O.

  • Orthopaedic Surgery Physician
  • Garden City, MI
National Provider Identifier
1861705402
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101018924 Issued in MI
Practice address
6255 Inkster Rd
Suite 103
Garden City, MI 48135-2577
Phone
(734) 422-8400
NPI assigned
Jul 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101018924 MI Primary

Addresses

Primary practice location

6255 Inkster Rd
Suite 103
Garden City, MI 48135-2577

Mailing address

6255 Inkster Rd
Ste 103
Garden City, MI 48135-2538
Phone (734) 422-8400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160718000417 MI Practitioner - Orthopedic Surgery 0941501514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes OrthopaedicsGroup PAC ID 3779560818, 4 clinicians

Practice addresses (Care Compare)

6255 Inkster Rd
Garden City, MI 48135-2538
Phone (734) 422-8400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101018924MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Orthopaedics Orthopaedic Surgery CurrentSince Aug 1, 2016 Accepting new patients
Great Lakes Orthopaedics Orthopaedic Surgery CurrentSince Aug 1, 2016 Accepting new patients
Aen Sports, LLC Current Accepting new patients

Locations

6255 Inkster Rd
Ste 103
Garden City, MI 48135
Phone (313) 422-8400

Interoperability endpoints

  • Direct secure messaging: tdoig@glo2005.srs-direct.com
  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_GLO
  • Direct secure messaging: tdoig@glo.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1861705402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "STE 103",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352538",
            "telephone_number": "734-422-8400",
            "fax_number": "734-422-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 103",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-422-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOIG",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101018924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.