Alicia Gronowski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601010278 Issued in MI

Practice address

20311 Mack Ave
Grosse Pointe Woods, MI 48236-1784

Phone

(313) 499-6000

NPI assigned

Jan 27, 2021

Last updated

Jan 27, 2021By the provider in NPPES

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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agronowski821278@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nextcare Michigan Providers PLLC

  dba Michigan Urgent Care

  • Urgent Care Clinic/Center
  • Ann Arbor, MI
  • NPI 1972106938
  Medicare reassignment
• Total Health Systems Inc

  • General Practice Physician
  • Clinton TWP, MI
  • NPI 1265564900
  Medicare reassignment
• Washtenaw Urgent Care

  • Internal Medicine Physician
  • Ann Arbor, MI
  • NPI 1174874531
  NPD

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1093306797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17197 N LAUREL PARK DR STE 107",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361784",
            "telephone_number": "313-499-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37595 7 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481521003",
            "country_code": "US",
            "telephone_number": "734-542-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRONOWSKI",
        "first_name": "ALICIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "20311 Mack Ave",
            "city": "Grosse Pointe Woods",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482361784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brad James Gregory
• Tina Marie Gretkierewicz
• Joshua Robert Griffith, PT, DPT
• Tonya Yvonne Griffith, LMSW
• Crystal Marie Grimes
• Grosse Pointe Audiology, LLC
• Grosse Pointe Eye Center
• Grosse Pointe Family Dental
• Grosse Pointe Therapy Services LLC
• Grosse Pointe Urgent Care PC

• Physician Assistant in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.