Individual provider Active NPI

Victoria Therese Voros, PA-C

  • Medical Physician Assistant
  • Berkley, MI
National Provider Identifier
1316224108
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2635 Coolidge Hwy
Berkley, MI 48072-1554
Phone
(248) 541-2512
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003520 OH
Medical Physician Assistant 363AM0700X OH Primary

Addresses

Primary practice location

2635 Coolidge Hwy
Berkley, MI 48072-1554

Mailing address

1530 Marywood Dr
Royal Oak, MI 48067-1230
Phone (248) 677-1754

Other practice location 1

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (248) 677-1754

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140422002054 MI Practitioner - Physician Assistant 7214192632 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
85.89
Promoting interoperability
0
Improvement activities
40
Cost
66.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.003520OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Health Care, P.C. CurrentSince Nov 8, 2020 Accepting new patients
Personal Health Care, P.C. CurrentSince Nov 8, 2020 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Mar 8, 2014 Accepting new patients
Theoria Medical Physician Assistant CurrentSince Jun 11, 2020 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Mar 8, 2014 Accepting new patients

Locations

2635 Coolidge Hwy
Berkley, MI 48072
Phone (248) 541-2512

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

540 Sunnyside Dr
Flushing, MI 48433
Phone (810) 487-0045

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

28 S Prospect St
Ypsilanti, MI 48198
Phone (734) 483-2220

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1316224108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MARYWOOD DR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671230",
            "telephone_number": "248-677-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721554",
            "telephone_number": "248-541-2512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "248-677-1754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOROS",
        "first_name": "VICTORIA",
        "middle_name": "THERESE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003520",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.