Primary Medical Services PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301084438 Issued in MI

Legal business name

PRIMARY MEDICAL SERVICES PC

Practice address

26711 Woodward Ave
Ste 108
Huntington Woods, MI 48070-1333

Phone

(248) 336-2008

Fax

(248) 721-8089

NPI assigned

Mar 4, 2013

Last updated

Mar 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrycja I Czesnowski, MDNPI 1386831568

Title

Owner

Phone

(586) 925-7702

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrycja Izabella Czesnowski, M.D.

  • Family Medicine Physician
  • Hazel Park, MI
  • NPI 1386831568
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1265773022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74321 JUDGES CT",
            "city": "BRUCE TWP",
            "state": "MI",
            "postal_code": "480653125",
            "telephone_number": "586-925-7702",
            "fax_number": "248-721-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE",
            "address_2": "STE 108",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701333",
            "telephone_number": "248-336-2008",
            "fax_number": "248-721-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "CZESNOWSKI",
        "authorized_official_first_name": "PATRYCJA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-925-7702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301084438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Potis, QIDP
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• Amber Rademacher, PT, DPT, CBIS
• Maria Cristina Ramirez, PH.D.
• Anne E Raymaker, LMSW

• Family Medicine Physician in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.