Emily Anne Sydloski

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006550 Issued in MI

Practice address

1009 W Green St
Hastings, MI 49058-1710

Phone

(269) 948-3105

NPI assigned

Jan 3, 2013

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 names 1

• Emily Anne Nyland Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Hastings Emergency Physicians PLC

  • Emergency Medicine Physician
  • Hastings, MI
  • NPI 1699709360
  NPD
• Southside Pediatrics PC

  • Pediatrics Physician
  • Hastings, MI
  • NPI 1912252909
  NPD (past)

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1740527290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 28TH ST SW STE B",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181282",
            "telephone_number": "616-949-9030",
            "fax_number": "616-949-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W GREEN ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581710",
            "telephone_number": "269-948-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYDLOSKI",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "NYLAND",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hailey Summers
• Riley Sundstrom
• Debra Sue Sunior, RN
• Travis David Swartz, D.O.
• Brittany Swoboda, LPC, BCBA
• Thelma J Symonds, LPN
• Sara Syswerda
• Jennie E Szatkowski, PA-C
• Laura Taylor, BS
• Jennifer Margaret Telfor, OTL

• Physician Assistant in Hastings, MI
• Providers in Hastings, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.

Verify at the official NPI Registry.