Individual provider Active NPI

Devynn Suzanne Wojdyla, PA-C

  • Medical Physician Assistant
  • Detroit, MI
National Provider Identifier
1992139703
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601006716 Issued in MI
Practice address
2799 W Grand Blvd
Attn Orthopedic Department
Detroit, MI 48202-2608
Phone
(313) 916-8020
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601006716 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Attn Orthopedic Department
Detroit, MI 48202-2608

Mailing address

2760 Upper Ridge Dr
Apartment 8
Rochester Hills, MI 48307-4479
Phone (586) 855-3421

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwojdyla222601@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140122001416 MI Practitioner - Physician Assistant 3678701513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

14500 Hall Rd
Sterling Heights, MI 48313-1229
Phone (586) 247-2700

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

6777 W Maple Rd
Henry Ford West Bloomfield Med Ctr
West Bloomfield, MI 48322-3013
Phone (248) 661-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601006716MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Medical CurrentSince Nov 1, 2013 Accepting new patients
Total Health Systems Inc CurrentSince Jun 25, 2015 Accepting new patients
Henry Ford Health System CurrentSince Nov 1, 2013 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

43740 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-0270

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

159 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 640-1000

Interoperability endpoints

  • Direct secure messaging: dwojdyla222601@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1992139703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 UPPER RIDGE DR",
            "address_2": "APARTMENT 8",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074479",
            "telephone_number": "586-855-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "address_2": "ATTN ORTHOPEDIC DEPARTMENT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJDYLA",
        "first_name": "DEVYNN",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwojdyla222601@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "2799 W Grand Blvd",
            "address_2": "Attn Orthopedic Department",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.