Active NPI
Kellie A Laskowski, PA C
- Physician Assistant
- Muskegon, MI
National Provider Identifier
1770574634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601003618
- Practice address
- 1325 E Sherman Blvd
Muskegon, MI 49444-1813 - Phone
- (231) 737-8446
- Fax
- (231) 737-0510
- NPI assigned
- Oct 31, 2005
- 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 | 5601003618 | MI | Primary |
Addresses
Primary practice location
1325 E Sherman Blvd
Muskegon, MI 49444-1813
Mailing address
1325 E Sherman Blvd
Muskegon, MI 49444-1813
Phone (231) 737-8446
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 E Sherman Blvd
Norton Shores, MI 49444-1813
Phone (231) 737-8446
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Care Specialists PC | Past | Accepting new patients |
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.
-
- Surgery Physician
- Muskegon, MI
- NPI 1588708820
-
- Emergency Medicine Physician
- Grand Rapids, MI
- NPI 1093766958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1770574634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441813",
"telephone_number": "231-737-8446",
"fax_number": "231-737-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441813",
"telephone_number": "231-737-8446",
"fax_number": "231-737-0510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASKOWSKI",
"first_name": "KELLIE",
"middle_name": "A",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601003618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.
- 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.