Carol Czuk, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704133044 Issued in MI

Practice address

2690 S Cleveland Ave
Saint Joseph, MI 49085-3002

Phone

(269) 428-2800

NPI assigned

Sep 16, 2005

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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGAJDD

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.

• Radiology Associates of Berrien County PC

  • Diagnostic Radiology Physician
  • Saint Joseph, MI
  • NPI 1538194923
  NPD (past)
• South Shore Women's Health Care PC

  • Obstetrics & Gynecology Physician
  • Saint Joseph, MI
  • NPI 1649494246
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831184605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ROCKEY WEED RD",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279422",
            "telephone_number": "269-429-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853002",
            "telephone_number": "269-428-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZUK",
        "first_name": "CAROL",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704133044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00382884",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4960089",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "5008769570",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Rae Croson, MOT, OTL
• Katelyn Crow
• Roberto Cuadra, MD
• Steven Scott Culley, DO
• Claudine Luna Curioso-Hughes, D.O
• Rashmi Giselle D'Mello, M.D.
• Kristi Ann Daane, LMSW ACSW
• Lisa Marie Dalgleish, R. D.
• Barbara Jane Dallas, MA, CCC-SLP
• Rachel Damaske, PHARMD

• Nurse Practitioner in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.