Patricia Kolodziej, M.D.

Primary specialty

Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X

License

4301056334 Issued in MI

Practice address

350 Lafayette Ave SE
4TH Floor
Grand Rapids, MI 49503-4656

Phone

(616) 456-8515

Fax

(616) 233-1108

NPI assigned

Jul 20, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1659370666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895335",
            "telephone_number": "616-456-8515",
            "fax_number": "616-233-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LAFAYETTE AVE SE",
            "address_2": "4TH FLOOR",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034656",
            "telephone_number": "616-456-8515",
            "fax_number": "616-233-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODZIEJ",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "MI",
            "license": "4301056334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4085196",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Kolenbrander, MSW, BS
• Stacey Kolenda, O.T.R.
• Christina T Kolias, OTR
• Nik Kolicaj, MD
• Corey John Koll, PA-C
• Jillian Kolster
• Christian Robert Komor, PSY.D.
• Ewa D Komorowska-Timek, MD
• Alexis Morgan Kompier, LMSW
• Quinn Konarska, MA, LMFT

• Orthopaedic Foot and Ankle Surgery Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Orthopaedic Foot and Ankle Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.