Active NPI
Sandra Zilkovska
- Physician Assistant
- Clinton Township, MI
National Provider Identifier
1760153803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 36549 Harper Ave Unit B
Clinton Township, MI 48035-2012 - Phone
- (586) 791-3150
- NPI assigned
- Sep 27, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
36549 Harper Ave Unit B
Clinton Township, MI 48035-2012
Mailing address
13420 Mair Dr
Sterling Heights, MI 48313-2651
Other practice location 1
21090 Allen Rd
Woodhaven, MI 48183-1602
Phone (734) 282-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1760153803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13420 MAIR DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483132651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36549 HARPER AVE UNIT B",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480352012",
"telephone_number": "586-791-3150"
}
],
"practiceLocations": [
{
"address_1": "21090 Allen Rd",
"address_purpose": "LOCATION",
"city": "Woodhaven",
"state": "MI",
"postal_code": "481831602",
"country_code": "US",
"telephone_number": "734-282-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZILKOVSKA",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-27",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.