Jennifer L Osstifin-Czerniejewski, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601003764 Issued in MI

Practice address

23255 Eureka Rd
Taylor, MI 48180-5240

Phone

(734) 287-3000

Fax

(734) 287-3113

NPI assigned

Jan 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Battle Creek Emergency Physicians, PC

  • Emergency Medicine Physician
  • Battle Creek, MI
  • NPI 1497789168

  Physician Assistant

  NPD (past)
• Great Lakes Physical Medicine and Rehabilitation

  • Rehabilitation Clinic/Center
  • Wyandotte, MI
  • NPI 1871794669
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1821078411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23255 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805240",
            "telephone_number": "734-287-3000",
            "fax_number": "734-287-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23255 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805240",
            "telephone_number": "734-287-3000",
            "fax_number": "734-287-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSTIFIN-CZERNIEJEWSKI",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "5601003764",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdullah M Omari, M.D.
• Janet Lynn Onesian, LMSW
• Latricia Osborne
• Maha H Osman, PHARM D
• Joseph Paul Ososkie, LMSW
• Paul J. Ovares, D.C.
• Jamie Lee Ann Owens, LCSW
• P-Cor, LLC (Henry Ford Optimeyes)
• Joel Talamonu Paea
• Kelli Ann Pagel, PAC

• Physician Assistant in Taylor, MI
• Providers in Taylor, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.