Organization Active NPI

Urszula a. Studzinski, M.D, P.C.

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1205903085
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301062467 Issued in MI
Legal business name
URSZULA A. STUDZINSKI, M.D, P.C.
Practice address
19855 West Outer Dr.
Garrison Place East, Suite L-7
Dearborn, MI 48124-2022
Phone
(313) 277-4929
Fax
(313) 561-1842
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Dr. Urszula A. Studzinski, M.D.NPI 1558424259
Title
M.D./ Owner
Phone
(313) 277-4929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301062467 MI Primary

Addresses

Primary practice location

19855 West Outer Dr.
Garrison Place East, Suite L-7
Dearborn, MI 48124-2022

Mailing address

P.O. Box 250704
West Bloomfield, MI 48325-0704
Phone (248) 788-7706

Other identifiers 17

IdentifierTypeStateIssuer
0P10000OtherMIMEDICARE ID-TYPE UNSPECIFIED
0P10000001OtherMIMEDICARE BLUE CROSS
1108247142OtherMIBLUE CROSS BLUE SHIELD
1108247142OtherMIFEDERAL BLUE CROSS BLUE SHIELD
P00197310OtherMIRAILROAD MEDICARE
0P10000001OtherMIMEDICARE
1108247142OtherMIBLUE CARE NETWORK OF MICHIGAN
923-1OtherMITOTAL HEALTH CARE
DR82155OtherMIMCARE
136372OtherMICARE CHOICES HEALTH PLAN
G37726OtherMIPRIORITY HEALTH
12052OtherMICAPE HEALTH PLAN
136372OtherMICARE CHOICES HMO
3355617MedicaidMI
G37726OtherMISELECTCARE
G37726OtherMIPPOM
G37726OtherMIHAP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1205903085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 250704",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483250704",
            "telephone_number": "248-788-7706",
            "fax_number": "248-788-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19855 WEST OUTER DR.",
            "address_2": "GARRISON PLACE EAST, SUITE L-7",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242022",
            "telephone_number": "313-277-4929",
            "fax_number": "313-561-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URSZULA A. STUDZINSKI, M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "STUDZINSKI",
        "authorized_official_first_name": "URSZULA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "M.D./ OWNER",
        "authorized_official_telephone_number": "313-277-4929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301062467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "0P10000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BLUE CROSS",
            "identifier": "0P10000001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1108247142",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS BLUE SHIELD",
            "identifier": "1108247142",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00197310",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0P10000001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK OF MICHIGAN",
            "identifier": "1108247142",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CARE",
            "identifier": "923-1",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "DR82155",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES HEALTH PLAN",
            "identifier": "136372",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "G37726",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE HEALTH PLAN",
            "identifier": "12052",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES HMO",
            "identifier": "136372",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3355617",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTCARE",
            "identifier": "G37726",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "G37726",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "G37726",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.