Michaella Dziedzic, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

267044 Issued in MA

Practice address

139 Sandwich St
Plymouth, MA 02360-2449

Phone

(508) 746-5900

Fax

(508) 747-2290

NPI assigned

Apr 11, 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

• Michaella Jamiel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mdziedzic8100@direct.chppoc.masshiway.net

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801239686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SANDWICH ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602449",
            "telephone_number": "508-746-5900",
            "fax_number": "508-747-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SANDWICH ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602449",
            "telephone_number": "508-746-5900",
            "fax_number": "508-747-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_2": "MCH085",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZIEDZIC",
        "first_name": "MICHAELLA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "267044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELLA",
            "last_name": "JAMIEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Durocher
• Dva Healthcare of Massachusetts, Inc
• James Dwyer
• Jillian Marie Dwyer
• Hannah Nicole Dygert, PAC
• Amber Earl, PA-C
• Carolyn Early, RN/NP
• Bridget Eason-Lefort
• Eastern Shore Chiropractic Associates, PC
• Jacqueline Eaton

• Pediatrics Physician in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.