Mary Ann Dymek, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

MD109206 Issued in MI

Practice address

4801 McLeod Dr E
Saginaw, MI 48604-2840

Phone

(989) 790-2709

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1902838717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6746 FRANKENLUST RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068345",
            "telephone_number": "989-667-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MCLEOD DR E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042840",
            "telephone_number": "989-790-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYMEK",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "MD109206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4522970",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbey Dwinnells
• Amy Dwyer, R.PH
• Dayana Dwyer
• Jacqueline Carrington Dwyer, MS, LPC, LBSW
• Kari Dyer
• Stephanie Dymora
• Drake Dzierwa
• E. George Galsterer, D.O.,PC
• Tracy Lee Eagle, MS
• Matthew David Eagleson, D.O.

• Primary Care Nurse Practitioner in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.