Completely Well Health & Wellness PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMPLETELY WELL HEALTH & WELLNESS PC

Practice address

25500 Meadowbrook Rd Ste 260
Novi, MI 48375-1883

Phone

(248) 639-4131

NPI assigned

Aug 3, 2023

Organization subpart

No

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

Authorized official

Name

Ron Kuzdak, DONPI 1689618449

Title

Ceo

Phone

(248) 770-8280

Specialties & licenses 1

Addresses

Other names 2

• Gem Health & Wellness PC Doing business as
• Completely Well Health & Wellness, PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ron Christopher Kuzdak, DO

  • Family Medicine Physician
  • Novi, MI
  • NPI 1689618449
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1194407619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 260",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 260",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751883",
            "telephone_number": "248-639-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETELY WELL HEALTH & WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "KUZDAK",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-770-8280",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gem Health & Wellness PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Completely Well Health & Wellness, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Family Medicine Physician in Novi, MI
• Providers in Novi, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.