Active NPI
Geraldine L Pawlik, M.D.
- Surgery Physician
- Dearborn, MI
National Provider Identifier
1922072206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301066774
- Practice address
- 18181 Oakwood Blvd
Ste 209
Dearborn, MI 48124-5032 - Phone
- (313) 271-8560
- Fax
- (313) 271-2831
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301066774 | MI | Primary |
Addresses
Primary practice location
18181 Oakwood Blvd
Ste 209
Dearborn, MI 48124-5032
Mailing address
18181 Oakwood Blvd
Suite 209
Dearborn, MI 48124-5032
Phone (313) 271-8560
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C3203 | Other | MI | MCARE INDIVIDUAL PIN# |
| 02-0822050-1 | Other | MI | BCBSM INDIVIDUAL PIN# |
| 020H263670 | Other | MI | BCBSM GROUP PIN# |
| 3185722 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Healthcare, Inc. | Past | Accepting new patients | |
| Oakwood Healthcare Group I, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Dearborn, MI
- NPI 1629081062
-
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267747200000",
"number": "1922072206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18181 OAKWOOD BLVD",
"address_2": "SUITE 209",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481245032",
"telephone_number": "313-271-8560",
"fax_number": "313-271-2831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18181 OAKWOOD BLVD",
"address_2": "STE 209",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481245032",
"telephone_number": "313-271-8560",
"fax_number": "313-271-2831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLIK",
"first_name": "GERALDINE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2010-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301066774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE INDIVIDUAL PIN#",
"identifier": "C3203",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM INDIVIDUAL PIN#",
"identifier": "02-0822050-1",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP PIN#",
"identifier": "020H263670",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3185722",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.