Andrea Marie Rosik, P.A.-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5601004355 Issued in MI

Practice address

50505 Schoenherr Rd
Suite 325
Shelby Township, MI 48315-3140

Phone

(586) 580-1001

Fax

(586) 580-9289

NPI assigned

Sep 16, 2005

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

Enrolled in MI

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.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berry Dermatology PCGroup PAC ID 2466693387, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: arosik241406@direct.hfhs.org

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.

• Berry Dermatology, P.C.

  dba Dermatology Specialists of Shelby

  • Dermatology Physician
  • Shelby Township, MI
  • NPI 1326386517
  Medicare reassignment Care Compare group
• Hamzavi Psychiatry & Wellness Center PLLC

  • Psychiatry Physician
  • Farmington Hills, MI
  • NPI 1891188124
  NPD (past)
• S L Husain Hamzavi MD PC

  dba Hamzavi Dermatology

  • Dermatology Physician
  • Clinton TWP, MI
  • NPI 1407943962
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1063407955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43151 DALCOMA DR",
            "address_2": "SUITE 5",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386306",
            "telephone_number": "586-286-8720",
            "fax_number": "586-649-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 325",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-580-1001",
            "fax_number": "586-580-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSIK",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5601004355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Romeo
• Ava Rose Romine
• Shavon Romita, LPC
• Emma Lauren Ronne, PA-C
• Stephanie Anne Rosenberg
• Jessica Ross, LLPC
• Rebecca Rowinski
• RT-Care RX
• Sharon Nadine Rude, MSW
• Victoria Lynn Ruemenapp, LMSW

• Dermatology Physician in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.

Verify at the official NPI Registry.