Jessica Dziedzicki, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A01613 Issued in OH

Practice address

11100 Euclid Ave
Hor T103
Cleveland, OH 44106-6045

Phone

(216) 844-7191

NPI assigned

Aug 26, 2015

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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Qualified Audiologist

Education

Ohio State University College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Head and Neck Surgeons, IncGroup PAC ID 2860426376, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdziedzicki43951@ehrdirect.uhhospitals.org

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.

• Ohio Head and Neck Surgeons, Inc

  • Otolaryngology Physician
  • Canton, OH
  • NPI 1659468874
  Medicare reassignment Care Compare group NPD
• Union Hospital Medical Services, LLC

  • Otolaryngology Physician
  • Dover, OH
  • NPI 1255567814
  NPD (past)
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1356718324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5467",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "HOR T103",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441066045",
            "telephone_number": "216-844-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIEDZICKI",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A01613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynasty Destination Transportation Service LLC
• La Rasha Dyson, SW-A
• Danielle Dziak, RN
• Mary Benton Dziak
• Michael Ian Dziat, AGNP
• Travis Dziubinski, AA-C
• Carolyn M Dziwis, MD
• David Dzurick, PA-C
• E Group, Inc.
• Abdel Rahman E'Mar

• Audiologist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Audiologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.