Emlily Kathryn Mlynarek, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3600 W 13 Mile Rd
Royal Oak, MI 48073-6711

Phone

(248) 549-0777

Fax

(248) 549-5888

NPI assigned

Jul 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Allergy & Asthma Associates of Mi PC

  • Allergy & Immunology Physician
  • Royal Oak, MI
  • NPI 1871526459
  NPD
• Allergy & Asthma Physicians of Royal Oak PC

  • Allergy & Immunology Physician
  • Royal Oak, MI
  • NPI 1942362694
  NPD (past)

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1306579727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 BEDFORD RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301408",
            "telephone_number": "313-303-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736711",
            "telephone_number": "248-549-0777",
            "fax_number": "248-549-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLYNAREK",
        "first_name": "EMLILY",
        "middle_name": "KATHRYN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-04",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011279",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Mitchell, MSN
• Rachel Mitchell
• Sarah Mitchell
• Carol Mitri, MD
• Jennifer B Mitsuya, D.O.
• Mujtaba Moazzam, M.D.
• Mobile Medical Consultant PLLC
• Mobile Physical Therapy LLC
• Hiba Mobin, M.D.
• Sunjay Modi

• Physician Assistant in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.