Ewa Zofia Duda

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704228213 Issued in MI

Practice address

3559 Shady Beach Blvd
Orchard Lake, MI 48324-3057

Phone

(248) 535-2498

NPI assigned

Jun 12, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Unity Medical Staffing Services LLC

  • Family Nurse Practitioner
  • Sterling Heights, MI
  • NPI 1477497089
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1003546250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 SHADY BEACH BLVD",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483243057",
            "telephone_number": "248-535-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 SHADY BEACH BLVD",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483243057",
            "telephone_number": "248-535-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDA",
        "first_name": "EWA",
        "middle_name": "ZOFIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704228213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monisha Manish Chadda, DDS
• David R Backus DDS
• Diamond Transportation Service, LLC
• Diamonds Transportation Services LLC
• Amira Doucette, LPC, LLP
• Farnaz S Abhari MD PC
• Gerald Gold, D.P.M.
• Brittany Goodling, LPN
• Suzanne Grace, MSW
• Dana Hakim

• Family Nurse Practitioner in Orchard Lake, MI
• Providers in Orchard Lake, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.