Mary L Serowoky, APRN-BC,NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704136723 Issued in MI

Practice address

One Ford Place
Suite 2E
Detroit, MI 48202-3448

Phone

(313) 300-0575

NPI assigned

Jun 30, 2005

Last updated

Mar 19, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mserowoky11251@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.

• Henry Ford Health System-School Based Health Initiative

  • Professional Counselor
  • Detroit, MI
  • NPI 1104010578
  NPD (past)
• Oakwood Healthcare Group II, LLC

  dba Oakwood Teen Centers, LLC

  • Ambulatory Family Planning Facility
  • Southgate, MI
  • NPI 1548307945
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1245237551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 MCKINLEY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243612",
            "telephone_number": "313-561-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE FORD PLACE",
            "address_2": "SUITE 2E",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023448",
            "telephone_number": "313-300-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEROWOKY",
        "first_name": "MARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "APRN-BC,NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704136723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mserowo1@hfhs.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "One Ford Place",
            "address_2": "Suite 2E",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482023448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Serenity Meadows Assisted Living LLC
• Serenity Residential Home Care LLC
• Serenity Valley Family Network
• Delaney Jordan Serlin, DO
• Julia Serlin
• Elizabeth Serra
• Lilly Serra
• Salvatore Serra, MD
• Brenda Liz Serrano-Nieves
• Ricardo Benjamin Serrano, M.D.

• Family Nurse Practitioner in Detroit, MI
• Providers in Detroit, 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 Mar 19, 2021; 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.