Alycia Cucka, DO MPH

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

5151015545 Issued in MI

Practice address

1 Genesys Pkwy
Ascension Genesys
Grand Blanc, MI 48429-4842

Phone

(810) 606-5000

NPI assigned

Jun 27, 2022

Last updated

Jul 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1639801947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE GENESYS PKWY",
            "address_2": "ASCENSION GENESYS",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484293625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "address_2": "ASCENSION GENESYS",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484294842",
            "telephone_number": "810-606-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCKA",
        "first_name": "ALYCIA",
        "credential": "DO MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5151015545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Cross
• Jill Marie Croteau, RN, BS, IBCLC
• Ilona Crowder, COTA/L
• Crux Leadership Coaching, LLC (Genesis Counseling LLC)
• Shailing Cruz
• Hannah Cuddeback
• Alexander Cuevas, MD
• Tamera Cull
• Curative Physical Therapy PLLC
• Jalen Curenton

• Obstetrics & Gynecology Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.
• 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.