Active NPI
Joseph Alan Paulisin, D.O
- Surgery Physician
- Bloomfield Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101019108
- Practice address
- 3514 Darcy Dr
Bloomfield Hills, MI 48301-2123 - Phone
- (248) 227-9595
- NPI assigned
- Jul 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 5101019108 | MI | Primary |
Addresses
Primary practice location
3514 Darcy Dr
Bloomfield Hills, MI 48301-2123
Mailing address
3514 Darcy Dr
Bloomfield Hills, MI 48301-2123
Phone (248) 227-9595
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Michigan State University College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25130 Southfield Rd
Suite 120
Southfield, MI 48075-1900
Phone (248) 262-7120
600 Health Park Blvd
Suite G
Grand Blanc, MI 48439-2558
Phone (810) 606-1660
Hospital & facility affiliations
- Ascension Genesys Hospital
- Henry Ford Allegiance Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 66 |
| Leg revascularization (restoring blood flow) | 26 |
| Removal of tissue | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Vascular Vein Center of Michigan PC | Vascular Surgery | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Vascular Surgery | Current | Accepting new patients |
| Genesys Integrated Group Practice PC | Past | Accepting new patients | |
| Henry Ford Health Genesys Hospital | Past | Accepting new patients |
Locations
600 Health Park Blvd
Ste G
Grand Blanc, MI 48439
Phone (810) 424-2259
813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
300 W Washington Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-1305
944 Baldwin Rd
Ste D
Lapeer, MI 48446
Phone (810) 606-1660
Interoperability endpoints
- jpaulisin1144133@direct.hfhs.org
- josephpaulisin@pmi.allscriptsdirect.net
Organizations & group practices 7
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.
-
- Vascular Surgery Physician
- Grand Blanc, MI
- NPI 1760900138
-
- Cardiovascular Disease Physician
- Southfield, MI
- NPI 1194020610
-
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Vascular Surgery Physician
- Jackson, MI
- NPI 1124565098
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
- Nurse Practitioner
- Flint, MI
- NPI 1386782381
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1962790246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3514 DARCY DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483012123",
"telephone_number": "248-227-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3514 DARCY DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483012123",
"telephone_number": "248-227-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULISIN",
"first_name": "JOSEPH",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-20",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101019108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.