NPIMap

Individual provider Active NPI

Emily Louise Kloska, DO

  • Family Medicine Physician
  • Oscoda, MI
National Provider Identifier
1649488917
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101016766 Issued in MI
Practice address
5939 N Huron Rd
Oscoda, MI 48750-9710
Phone
(989) 739-1441
Fax
(989) 739-6093
NPI assigned
May 19, 2007
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101016766 MI Primary

Addresses

Primary practice location

5939 N Huron Rd
Oscoda, MI 48750-9710

Mailing address

5939 N Huron Rd
Oscoda, MI 48750-9710
Phone (989) 739-1441

Other names 1

  • Emily Louise Andrina Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bradkloska@smomsjhs.allscriptsdirect.net
Direct Messaging Address emilykloska@smomsjhs.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090818000132 MI Practitioner - Family Practice 9739233370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy IncGroup PAC ID 5698669919, 23 clinicians
Mymichigan Medical Center TawasGroup PAC ID 9638070766, 36 clinicians

Practice addresses (Care Compare)

3076 Northridge Rd
Hale, MI 48739-9277
Phone (989) 728-0242

5939 N Huron Rd
Mymichigan Family Medicine
Oscoda, MI 48750-9710
Phone (989) 739-1441

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Tawas Current Accepting new patients
Mymichigan Medical Center Tawas Family Medicine CurrentSince Aug 17, 2009 Accepting new patients
Mymichigan Medical Center Tawas CurrentSince Aug 17, 2009 Accepting new patients
Mymichigan Medical Center Tawas Past Accepting new patients
Mymichigan Medical Center Tawas Past Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

5939 N Huron Rd
Oscoda, MI 48750
Phone (989) 739-1441

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

700 German St
Tawas City, MI 48763
Phone (989) 362-0066

Interoperability endpoints

  • Direct secure messaging: ekloska56715@mymichiganhealth.midirect.net
  • Direct secure messaging: emily.kloska.1@11016.direct.athenahealth.com
  • Direct secure messaging: emilykloska@smomsjhs.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1649488917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 N HURON RD",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487509710",
            "telephone_number": "989-739-1441",
            "fax_number": "989-739-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 N HURON RD",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487509710",
            "telephone_number": "989-739-1441",
            "fax_number": "989-739-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSKA",
        "first_name": "EMILY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-19",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bradkloska@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5939 N Huron Rd",
            "city": "Oscoda",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487509710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emilykloska@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5939 N Huron Rd",
            "city": "Oscoda",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487509710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ANDRINA",
            "middle_name": "LOUISE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oscoda, MI

Sources for this page

Verify at the official NPI Registry.