Dynamic Management Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DYNAMIC MANAGEMENT GROUP, LLC

Doing business as

Dynamic Healthcare

Practice address

33464 Schoenherr Rd Ste 160
Sterling Heights, MI 48312-6392

Phone

(586) 585-6500

Fax

(586) 585-6852

NPI assigned

Oct 11, 2021

Last updated

Oct 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine L Novak, PA-CNPI 1669981353

Title

Owner

Phone

(586) 585-6500

Specialties & licenses 2

Addresses

Other names 1

• Dynamic Healthcare Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Louise Novak, PA-C

  • Physician Assistant
  • Sterling Heights, MI
  • NPI 1669981353
  NPD Authorized official

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1629730353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33464 SCHOENHERR RD STE 160",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126392",
            "telephone_number": "586-585-6500",
            "fax_number": "586-585-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33464 SCHOENHERR RD STE 160",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126392",
            "telephone_number": "586-585-6500",
            "fax_number": "586-585-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-585-6500",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dynamic Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lillman Dwarka, MD
• Dymphna Counselling
• Dynaflex Home Health Care, LLC
• Dynamic Edge Rehab Services LLC
• Dynamic Healthcare PLLC
• Dynasty Rehabilitation Services PC
• Sierra Estelle Dynkowski
• Ruzica Dzebo, M.D.
• Camilla Anna Dziedzinski
• E&P New Arising Home Care Agency

• Family Medicine Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.