Jay Kaszyca, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

JK004279 Issued in MI

Practice address

2615 Electric Ave
Suite a
Port Huron, MI 48060-6575

Phone

(810) 982-9911

Fax

(810) 985-7740

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992877120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 ELECTRIC AVE",
            "address_2": "SUITE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606575",
            "telephone_number": "810-982-9911",
            "fax_number": "810-985-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 ELECTRIC AVE",
            "address_2": "SUITE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606575",
            "telephone_number": "810-982-9911",
            "fax_number": "810-985-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASZYCA",
        "first_name": "JAY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "JK004279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huseyin Sakib Karakilic
• Rubina Karim, MD
• Samprit Karra, DO
• Kinjal Kasbawala, M.D.
• James Edward Kaski
• Katherine Kuhn
• Rani Kattoula, DO
• Karl Kaufman
• Amanda Kayser
• Thalia Kazazis, LMSW

• Surgical Physician Assistant in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Surgical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.