Active NPI
Susan Wosik, PA-C
- Physician Assistant
- Warren, MI
National Provider Identifier
1104379601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007965
- Practice address
- 11900 E 12 Mile Rd Ste 100
Warren, MI 48093-3487 - Phone
- (248) 662-4110
- Fax
- (248) 662-4120
- NPI assigned
- Aug 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | 5601007965 | MI | Primary |
Addresses
Primary practice location
11900 E 12 Mile Rd Ste 100
Warren, MI 48093-3487
Mailing address
26850 Providence Pkwy Ste 350
Novi, MI 48374-1261
Phone (248) 662-4110
Other practice location 1
26850 Providence Pkwy Ste 350
Novi, MI 48374-1261
Phone (248) 662-4110
Other practice location 2
3535 W 13 Mile Rd Ste 248
Royal Oak, MI 48073-6770
Phone (248) 551-1515
Other practice location 3
44199 Dequindre Rd Ste 315
Troy, MI 48085-1128
Phone (248) 964-1170
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swosik68260@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
28100 Grand River Ave
Farmington Hills, MI 48336-5970
3535 W 13 Mile Rd
Royal Oak, MI 48073-6770
44199 Dequindre Rd
Troy, MI 48085-1128
Hospital & facility affiliations
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital - Dearborn
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- swosik366553@direct.hfhs.org
- swosik68260@direct.beaumont.edu
Organizations & group practices 1
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.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1104379601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY STE 350",
"city": "NOVI",
"state": "MI",
"postal_code": "483741261",
"telephone_number": "248-662-4110",
"fax_number": "248-662-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 E 12 MILE RD STE 100",
"city": "WARREN",
"state": "MI",
"postal_code": "480933487",
"telephone_number": "248-662-4110",
"fax_number": "248-662-4120"
}
],
"practiceLocations": [
{
"address_1": "26850 Providence Pkwy Ste 350",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483741261",
"country_code": "US",
"telephone_number": "248-662-4110",
"fax_number": "248-662-4120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 W 13 Mile Rd Ste 248",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736770",
"country_code": "US",
"telephone_number": "248-551-1515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44199 Dequindre Rd Ste 315",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480851128",
"country_code": "US",
"telephone_number": "248-964-1170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOSIK",
"first_name": "SUSAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-01",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007965",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "swosik68260@direct.beaumont.edu",
"affiliation": "N",
"address_1": "44199 Dequindre Rd Ste 315",
"city": "Troy",
"state": "MI",
"country_code": "US",
"postal_code": "480851128",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.