Active NPI
Thomas Szczytko, CP
- Prosthetist
- Grand Rapids, MI
National Provider Identifier
1255380952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CP999
- Practice address
- 230 Michigan St NE
Ste 200
Grand Rapids, MI 49503-2550 - Phone
- (616) 459-7101
- Fax
- (616) 459-8425
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CP999 | MI | Primary |
Addresses
Primary practice location
230 Michigan St NE
Ste 200
Grand Rapids, MI 49503-2550
Mailing address
1111 Leffingwell Ave NE
Suite 100
Grand Rapids, MI 49525-6406
Phone (616) 459-7101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP999 | MI | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1255380952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 LEFFINGWELL AVE NE",
"address_2": "SUITE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256406",
"telephone_number": "616-459-7101",
"fax_number": "616-464-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 MICHIGAN ST NE",
"address_2": "STE 200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032550",
"telephone_number": "616-459-7101",
"fax_number": "616-459-8425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZCZYTKO",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "CP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "MI",
"license": "CP999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.