Provider Type Icon

BILLY R NORDYKE JR DO PC NPI 1235619065


NPI Information

NPI: 1235619065
Provider Name: BILLY R NORDYKE JR DO PC

Doing Business As: NORDYKE FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D2152670

Address:
2201 FORD AVE
WYANDOTTE, MI
ZIP 48192
Phone: (734) 258-8835
Get Directions

BILLY R NORDYKE JR DO PC is a family medicine in Wyandotte, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BILLY R NORDYKE JR DO PC NPI is 1235619065. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nordyke Family Medicine.

The provider's business location address is:

2201 FORD AVE
WYANDOTTE, MI
ZIP 48192-314
Phone: (734) 258-8835
Fax: (734) 258-8885

The provider's authorized official is Billy Ralph Nordyke .
The authorized official title is Do/ceo and has the following contact phone number (734) 758-8835.

The CLIA number assigned to this NPI record is 23D2152670 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2018 and was last updated on 5/31/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine5101018163MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.