Active NPI
James Daniel Bozyk II, PA
- Physician Assistant
- Saint Joseph, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 183 Peace Blvd
Saint Joseph, MI 49085-9146 - Phone
- (269) 428-3500
- NPI assigned
- Aug 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
183 Peace Blvd
Saint Joseph, MI 49085-9146
Mailing address
183 Peace Blvd
Saint Joseph, MI 49085-9146
Phone (269) 428-3500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EPIC | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300
31 N Saint Joseph Ave
Niles, MI 49120-2207
Phone (269) 687-1436
3950 Hollywood Rd
Saint Joseph, MI 49085-9151
6 Longmeadow Village Dr
Suite 1
Niles, MI 49120-7810
Phone (269) 408-1115
Hospital & facility affiliations
- Lakeland Hospital, St Joseph
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Medical Practices | Current | Accepting new patients |
Locations
6 Longmeadow Village Dr
Ste 1
Niles, MI 49120
Phone (269) 684-3028
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
Interoperability endpoints
- jbozyk1268648@epic00.shdirect.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Specialist
- Saint Joseph, MI
- NPI 1104913094
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1699403238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 PEACE BLVD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859146",
"telephone_number": "269-428-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 PEACE BLVD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859146",
"telephone_number": "269-428-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZYK",
"first_name": "JAMES",
"middle_name": "DANIEL",
"name_suffix": "II",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EPIC",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "183 Peace Blvd",
"city": "Saint Joseph",
"state": "MI",
"country_code": "US",
"postal_code": "490859146",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.