Active NPI
Karen Marie Dziuba, NP
- Family Nurse Practitioner
- West Branch, MI
National Provider Identifier
1710088802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704149174
- Practice address
- 630 Progress St
West Branch, MI 48661-8603 - Phone
- (989) 345-5020
- Fax
- (989) 343-1899
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704149174 | MI | Primary |
Addresses
Primary practice location
630 Progress St
West Branch, MI 48661-8603
Mailing address
1117S Washington Ave
Saginaw, MI 48601-2558
Phone (989) 791-4020
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri City Urology Associates PC | Current | Accepting new patients | |
| Northridge Family Practice LLC | Past | Accepting new patients | |
| Mahmood S Hasan MD P C | Past | Accepting new patients | |
| West Branch Pulmonary Clinic PC | Past | Accepting new patients | |
| Northridge Family Practice LLC | Family | Past | Accepting new patients |
Locations
1117 S Washington Ave
Saginaw, MI 48601
Phone (989) 791-4020
805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500
Organizations & group practices 5
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.
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-
- Urology Physician
- Tawas City, MI
- NPI 1538198650
-
- Clinical Cardiac Electrophysiology Physician
- Hale, MI
- NPI 1780803932
-
- Specialist
- Sterling, MI
- NPI 1790894988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1710088802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117S WASHINGTON AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486012558",
"telephone_number": "989-791-4020",
"fax_number": "989-921-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 PROGRESS ST",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486618603",
"telephone_number": "989-345-5020",
"fax_number": "989-343-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZIUBA",
"first_name": "KAREN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704149174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.