Dina Grodzinskiy, M.S., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601007419 Issued in MI

Practice address

911 E 9 Mile Rd
Ferndale, MI 48220-1934

Phone

(248) 336-4000

NPI assigned

Jul 14, 2015

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

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

Master of Science, Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: dgrodzinskiy557421@direct.hfhs.org
• Direct secure messaging: dinagrodzinskiy@epicpc.allscriptsdirect.net

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.

• Elizabeth Lake Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Waterford, MI
  • NPI 1538585260
  Medicare reassignment
• First Choice Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1629201264
  NPD (past)

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1235513730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 S ROCHESTER RD",
            "address_2": "SUITE A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074577",
            "telephone_number": "248-884-1500",
            "fax_number": "248-844-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201934",
            "telephone_number": "248-336-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2708 S Rochester Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483074577",
            "country_code": "US",
            "telephone_number": "248-884-1500",
            "fax_number": "248-844-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRODZINSKIY",
        "first_name": "DINA",
        "name_prefix": "Mrs.",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601007419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina L Gotberg
• Charles Gouin, CRNA
• Gravitation Home Care, LLC
• Jacquis Leshay Gray, PA-C
• Roscoe Emrys Grey
• Guided Hope LLC
• Gurukrupa Pharmacy LLC
• Victoria Guster-Brown, LMSW
• Mackenzie Haglund, OTRL
• Shameka Hamilton

• Medical Physician Assistant in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.