Individual provider Active NPI

Vesna Evkoska, DO

  • Family Medicine Physician
  • Clinton Township, MI
National Provider Identifier
1801973912
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012127 Issued in MI
Practice address
42500 Hayes Rd Suite 800
Clinton Township, MI 48038-6761
Phone
(586) 228-0200
Fax
(586) 228-3634
NPI assigned
Nov 1, 2006
Last updated
Feb 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101012127 MI Primary

Addresses

Primary practice location

42500 Hayes Rd Suite 800
Clinton Township, MI 48038-6761

Mailing address

6000 24 Mile Rd
Shelby TWP, MI 48316-3201
Phone (586) 677-3310

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)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1801973912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 24 MILE RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483163201",
            "telephone_number": "586-677-3310",
            "fax_number": "586-677-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42500 HAYES RD SUITE 800",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386761",
            "telephone_number": "586-228-0200",
            "fax_number": "586-228-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVKOSKA",
        "first_name": "VESNA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012127",
            "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 Feb 7, 2019; 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.