Active NPI
Sarah Grace Kozar, PA-C
- Physician Assistant
- Okemos, MI
National Provider Identifier
1770112120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2685 Jolly Rd
Okemos, MI 48864-3553 - Phone
- (517) 993-5900
- Fax
- (734) 464-0335
- NPI assigned
- Apr 7, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2685 Jolly Rd
Okemos, MI 48864-3553
Mailing address
PO Box 734244
Chicago, IL 60673-4244
Other practice location 1
1080 S Van Dyke Rd Ste B
Bad Axe, MI 48413-9635
Phone (810) 245-7766
Other practice location 2
6888 Grand River Rd
Brighton, MI 48114-9345
Phone (810) 220-4422
Other practice location 3
37605 Pembroke Ave
Livonia, MI 48152-1050
Phone (734) 591-7931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770112120 | Medicaid | MI |
Other names 1
- Sarah Grace Gawronski
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1080 S Van Dyke Rd
Suite 400
Bad Axe, MI 48413-9635
Phone (810) 245-7766
2685 Jolly Rd
Okemos, MI 48864-3553
Phone (517) 993-5900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.8 of 100
- Promoting interoperability
- 88
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audrey Bruell, M.D. P.C. | Current | Accepting new patients |
Locations
37605 Pembroke Ave
Livonia, MI 48152
Phone (734) 591-7931
Interoperability endpoints
- sgawronski2@assocderm.emadirect.md
Organizations & group practices 2
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.
-
- Dermatology Physician
- Livonia, MI
- NPI 1306965983
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1770112120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 734244",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606734244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2685 JOLLY RD",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643553",
"telephone_number": "517-993-5900",
"fax_number": "734-464-0335"
}
],
"practiceLocations": [
{
"address_1": "1080 S Van Dyke Rd Ste B",
"address_purpose": "LOCATION",
"city": "Bad Axe",
"state": "MI",
"postal_code": "484139635",
"country_code": "US",
"telephone_number": "810-245-7766",
"fax_number": "810-606-9600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6888 Grand River Rd",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MI",
"postal_code": "481149345",
"country_code": "US",
"telephone_number": "810-220-4422",
"fax_number": "810-220-1123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37605 Pembroke Ave",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481521050",
"country_code": "US",
"telephone_number": "734-591-7931",
"fax_number": "734-464-0335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOZAR",
"first_name": "SARAH",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770112120",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "GAWRONSKI",
"middle_name": "GRACE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.