Amy Kowalski, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301406717 Issued in MI

Practice address

2630 Union Lake Rd Ste 100
Commerce Township, MI 48382-3583

Phone

(248) 360-1200

Fax

(248) 360-6182

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: akowalski40189@direct.trinity-health.org

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1386655702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR LBBY J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 UNION LAKE RD STE 100",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823583",
            "telephone_number": "248-360-1200",
            "fax_number": "248-360-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "AMY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "AK406717",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301406717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3053231",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Kohl
• Ralph Kontry, D.O.
• Laurie Anne Kopp, P.T
• Nicole Rondini Korbecki, OTR
• Jackie Kosanka, RD
• Jay H Kozlowski, M.D., F.A.C.C.
• Ruth D Kozlowski, DO
• KP Premier Family Dental PLLC
• Jeffrey Kraus, OTL
• Kroger Co of Michigan

• Pediatrics Physician in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.