Lauren Patzke, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006523 Issued in MI

Practice address

32669 Warren Rd
Garden City, MI 48135-1677

Phone

(734) 762-0798

NPI assigned

May 17, 2013

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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.

• First Choice Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1629201264
  NPD (past)

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1972949840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302729",
            "telephone_number": "810-629-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32669 WARREN RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351677",
            "telephone_number": "734-762-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATZKE",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5822464",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph H Park, D.O.
• Katheryn R Parks
• Hetvi Patel
• Niravkumar Patel, RPH
• Vijaykumar N Patel, MD
• Stasia Renell Payne
• Peacehome Michigan Inc
• Michelle Pedersen, D.O.
• Pediatric & Adult Health Care PC
• Basil Varghese Peechakara, MD

• Physician Assistant in Garden City, MI
• Providers in Garden City, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.