NORDYKE FAMILY MEDICINE
NPI 1235619065
Family Medicine in Wyandotte, MI

Q: What is Billy R Nordyke Jr Do PC's NPI number?

The NPI number for Billy R Nordyke Jr Do PC is 1235619065. It was assigned to this organization in the NPPES registry on August 21, 2018. The provider is doing business as Nordyke Family Medicine.

Q: What is Billy R Nordyke Jr Do PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 21, 2018

2201 FORD AVE, WYANDOTTE, MI 48192(734) 258-8835(734) 258-8885 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 31, 2019, Aug 21, 2018 (2 updates tracked since 2018).

On this page

About Nordyke Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORDYKE FAMILY MEDICINE (NPI 1235619065) is a healthcare organization registered as a family medicine in Wyandotte, Michigan and active in the NPI registry since August 2018. The organization lists Billy Ralph Nordyke, Do/ceo, as its authorized official.

NPPES Registry Identity

NPI1235619065

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBILLY R NORDYKE JR DO PC

Location Address2201 FORD AVEWyandotte, MI 48192-2314

Mailing Address2201 Ford AveWyandotte, MI 48192-2314 · (734) 258-8835 · Fax (734) 258-8885

Phone(734) 258-8835

Fax(734) 258-8885

Organization SubpartNo

Authorized OfficialBilly Ralph NordykeDo/ceo · (734) 758-8835

Enumeration DateAugust 21, 2018

Last NPPES UpdateMay 31, 20192 updates tracked since enumeration

✔ NPI 1235619065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101018163

Definition

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.

2201 FORD AVE, Wyandotte, MI 48192

Open in Google Maps ↗

Other Names 1

Doing Business AsNordyke Family Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2152670

Nordyke Family Medicine · Wyandotte, MI

Expired · Aug 13, 2026

CLIA Number23D2152670

Laboratory TypePhysician Office

Certificate Effective DateAugust 14, 2024

Certificate Expiration DateAugust 13, 2026

Laboratory DirectorBilly R. Nordyke Jr

Laboratory Phone(734) 258-8835

Laboratory LocationNordyke Family Medicine2201 Ford Avenue, Wyandotte, MI 48192

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY J REGALADO FNP-C

Family Medicine