O. E. Horodysky, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28607 Issued in MI

Legal business name

O. E. HORODYSKY, M.D., P.C.

Practice address

12206 Morang
Detroit, MI 48224

Phone

(313) 371-5656

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Orest Eugene Horodysky, MD

Title

President

Phone

(313) 371-5656

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1891867131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12206 MORANG",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48224",
            "telephone_number": "313-371-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12206 MORANG",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48224",
            "telephone_number": "313-371-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O. E. HORODYSKY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "HORODYSKY",
        "authorized_official_first_name": "OREST",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-371-5656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "28607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103790910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Nyhuis, MS, CGC
• Derek Richard Nykiel, MD, DDS
• Mackenzie Nymeyer, PA
• Timothy J. Nypaver, M.D.
• Ruby Nzoma, FNP
• O.B.H. Transportation
• Connor J O'Boyle, MD
• Canyon O'Brien, DO
• Carol O'Brien, LMSW
• Colleen O'Brien, DDS

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.