MRS. AMY KRISTIN DZIURMAN (NPI# 1831112085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831112085 |
| Entity Type | Individual |
| Full Name | MRS. AMY KRISTIN DZIURMAN |
| Credential | NP |
| Practice Address |
15474 N Haggerty Rd Plymouth MI 48170-4893 |
| Mailing Address |
901 Mcclintock Dr Ste 202 Burr Ridge IL 60527-0872 |
| Practice Telephone | 7343356103 |
| Practice Fax Number | 7344045317 |
| Mailing Telephone | (888) 220-6432 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
4704222700 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
4704222700 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4201 Saint Antoine St, 4f, Detroit, MI 482012153 | 3137454380 |
| Street Address |
15474 N HAGGERTY RD |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-4893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831119981 | Akshay B Shah | Specialist | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2006-07-20 |
| 1689048415 | Mary Connors | Nurse Practitioner | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2015-11-17 |
| 1902213697 | Simira Johnson | Nurse Practitioner | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2014-07-15 |
| 1861806101 | Vanita Suzanni Robinson | Nurse Practitioner | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2014-06-15 |
| 1275953747 | Kathleen Szkutnicki | Registered Nurse | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2014-04-23 |
| 1841530250 | Metro Infectious Disease Consultants, LLC | Home Infusion | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2013-02-21 |
| 1902172976 | Carly Anne Niemczewski | Nurse Practitioner | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2012-03-23 |
| 1811277957 | Farah Tanveer | Internal Medicine | 15474 N Haggerty Rd, Plymouth, MI 48170 | 2011-08-21 |
| 1194004523 | Elizabeth Ashley Kozak | Physician Assistant | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2011-08-16 |
| 1174787956 | Tejal Mehta | Internal Medicine | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2008-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437706470 | Brittany Griffin | Nurse Practitioner | 123 Camelot Dr Ste 1, Plymouth, MA 02360-3038 | 2019-08-23 |
| 1467971325 | Tiffany Gray Moon | Nurse Practitioner | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2017-09-12 |
| 1083893705 | Cristen Jayne Singer | Nurse Practitioner | 15655 37th Ave N, Suite 100, Plymouth, MN 55446 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615279 | Kelly Ellis | Nurse Practitioner | 585 S Union St, Sparta, MI 49345-1505 | 2020-07-01 |
| 1316587678 | Pregnancy Helpline | Nurse Practitioner | 7743 Grand River Avenue, Suite 101, Brighton, MI 48114-9349 | 2020-01-14 |
| 1972160745 | Jennifer Deibert Keck | Nurse Practitioner | 7345 Jewelbrooke Dr Se, Grand Rapids, MI 49548-7323 | 2019-05-28 |
| 1053874248 | Suzanne Kathleen Dubuque | Nurse Practitioner | 7743 Grand River Rd Ste 101, Brighton, MI 48114-9349 | 2019-04-13 |
| 1316419625 | Chira Latrice Caldwell | Nurse Practitioner | 26080 Continental Cir, Taylor, MI 48180-6901 | 2018-12-27 |
| 1245741651 | Michigan Born and Raised LLC | Nurse Practitioner | 2932 Chicago Dr Sw, Grandville, MI 49418-1176 | 2017-10-12 |
| 1700322708 | Emily Strang | Nurse Practitioner | 909 W Maple Rd Ste 110, Clawson, MI 48017-1000 | 2017-01-13 |
| 1629446315 | Women's Health Associates PC | Nurse Practitioner | 25150 Ford Rd Ste 200, Dearborn Heights, MI 48127-3163 | 2015-09-11 |
| 1003297664 | Kimberly Porter | Nurse Practitioner | 1005 W Green St Ste 301, Hastings, MI 49058-1729 | 2015-06-09 |
| 1619390309 | Bethany Bondy | Nurse Practitioner | 1651 Kingsway Ct Ste A, Trenton, MI 48183-1959 | 2014-01-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.