Taras Andrushkiw, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10200478 Issued in MI

Practice address

5584 Timberwood CT
Clarkston, MI 48346-3105

Phone

(586) 718-5677

NPI assigned

Jul 27, 2021

Last updated

Jul 27, 2021By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tandrushkiw1038618@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.

• Scope Medical Group PLLC

  • Gastroenterology Physician
  • Clinton Township, MI
  • NPI 1841940905
  Medicare reassignment NPD

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1215600135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5584 TIMBERWOOD CT",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463105",
            "telephone_number": "586-718-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5584 TIMBERWOOD CT",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463105",
            "telephone_number": "586-718-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUSHKIW",
        "first_name": "TARAS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F10200478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jo Anastasi, MA
• Jacob Anderson, LLC
• Julianna Andre
• Lisa Andreski, RN
• Aurora C. Andrews, M.D.
• Sara Andrykovich
• Angelcare Transport LLC
• Anna's Angels
• Anthony Aenlle MD PC (Clarkston Clinic)
• Pamela Schmelzer Anzicek, RN

• Family Nurse Practitioner in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Family Nurse Practitioner in Michigan

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