Megan Hryckowian-Mazur

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007152 Issued in MI

Practice address

37450 Dequindre Rd
Sterling HTS, MI 48310-3503

Phone

(586) 979-5100

NPI assigned

Dec 8, 2014

Last updated

Nov 13, 2018By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJHECD/Endpoint/JJHECD

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.

• Colleen Kennedy DO PC

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1295933000
  Medicare reassignment

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1568860583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43433 MIRABILE TRL",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382455",
            "telephone_number": "685-337-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37450 DEQUINDRE RD",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483103503",
            "telephone_number": "586-979-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43433 Mirabile Trl",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480382455",
            "country_code": "US",
            "telephone_number": "586-337-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HRYCKOWIAN-MAZUR",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Hope Translation LLC
• Healthy Hope Transportation LLC
• Laura S Henderson, MSW CSW
• Henry Ford Health System (Henry Ford Medical Center Pharmacy)
• Henry Ford Health System (Henry Ford Medical Center Pharmacy)
• Integrative Pain Specialist of Michigan PLLC
• Cynthia M Jackson
• Jennifer Vinch MD PLLC
• Kathy Kain
• Jolie Karadsheh

• Physician Assistant in Sterling HTS, MI
• Providers in Sterling HTS, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.