Susan Kay Kowalski, CPNP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4704125099 Issued in MI

Practice address

23050 West Rd Ste 110
Brownstown TWP, MI 48183-1470

Phone

(734) 671-9800

NPI assigned

Jul 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

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.

• Downriver Pediatric Associates P.C.

  • Pediatrics Physician
  • Brownstown TWP, MI
  • NPI 1124137534
  NPD (past)

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1750722252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23050 WEST RD STE 110",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831470",
            "telephone_number": "734-671-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23050 WEST RD STE 110",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831470",
            "telephone_number": "734-671-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4704125099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Jean Kaip, PT
• Kamal Gupta, M.D. P.C.
• Young Kil Kim, M.D.
• King Medical Center
• Bryan Klopp, FNP
• Kroger Co of Michigan
• Kristen Labeau
• David Warren Law, DO
• Liljana Licovski, DPM
• Joan Loewe

• Pediatrics Physician in Brownstown TWP, MI
• Providers in Brownstown TWP, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.