AMY DERECZYK PA-C – NPI #1558349050
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

AMY DERECZYK is a physician assistant located in DETROIT, MI. NPPES has assigned the NPI number 1558349050 to AMY DERECZYK on January 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 363A00000X from the Health Care Provider Taxonomy code set, which is classified as Physician Assistant.

The NPI profile was previously updated about 15 years ago on May 10, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMY DERECZYK below.

NPI Profile for
AMY DERECZYK

NPI Number
1558349050
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMY DERECZYK
Credentials
PA-C
Primary location
4001 W MCNICHOLS RD
DETROIT, MI 48221-3038
Phone: (313) 993-1797 Fax: (313) 993-1271
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for AMY DERECZYK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCAQH11712511
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363A00000X
- Physician Assistant (Primary)
MI 5601003980

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.