Laura Ginoza, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005561 Issued in MI

Practice address

18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805

Phone

(734) 464-0887

Fax

(734) 402-0254

NPI assigned

Jun 27, 2006

Last updated

Aug 6, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Sleep Centers, Inc.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Redding, CA
  • NPI 1538564463
  Medicare reassignment
• Alliance of Home Care Physicians, PC

  • Specialist
  • Warren, MI
  • NPI 1811039845
  NPD (past)
• Inpatient Consultants of Michigan PC

  • Hospitalist Physician
  • Livonia, MI
  • NPI 1861442824
  NPD (past)
• Labaza Eyecare, P.C.

  • Optometrist
  • Rochester, MI
  • NPI 1619184850
  NPD (past)
• Derm Docs LLC

  • Dermatology Physician
  • Honolulu, HI
  • NPI 1770797961
  NPD (past)
• Lake Dermatology Medical Assoc Inc

  • Dermatology Physician
  • Lakeport, CA
  • NPI 1437346657
  NPD (past)
• University Clinical Education & Research Associates

  dba University Health Partners of Hawaii

  • Clinical Medical Laboratory
  • Honolulu, HI
  • NPI 1659971489
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1407883283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36115 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501216",
            "telephone_number": "734-464-0887",
            "fax_number": "734-402-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18263 E 10 MILE RD",
            "address_2": "SUITE D",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665805",
            "telephone_number": "734-464-0887",
            "fax_number": "734-402-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINOZA",
        "first_name": "LAURA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA 01248",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Rosemary Gallas, LMSW
• Gbogbara Inc (King Pharmacy)
• John Kaoru Geddes, MD, PHD
• Michelle M Gilliatte, D.P.M.
• Shelby Elizabeth Gino, FNP
• Glory Counseling Services
• Glory Counseling Services
• John Theodore Golden, MD
• Darlene Goodin
• Gerlinda Marie Gordon

• Physician Assistant in Roseville, MI
• Providers in Roseville, 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 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.