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JEREMY WODAREK
NPI 1174133573
Student in an Organized Health Care Education/Training Program in Flint, MI

Active since July 31, 2020PECOS Enrolled
401 S BALLENGER HWY, FLINT, MI 48532(810) 342-2111 Get Directions Write a Review

NPPES record last updated: June 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2021, Sep 7, 2020, Jul 31, 2020 (3 updates tracked since 2020).

About Jeremy Wodarek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY WODAREK (NPI 1174133573) is an individual student in an organized health care education/training program in Flint, Michigan and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saginaw.

NPPES Registry Identity

NPI1174133573
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMY WODAREK
Location Address401 S BALLENGER HWYFlint, MI 48532-3638
Mailing Address401 S Ballenger HwyFlint, MI 48532-3638 · (810) 342-2111 · Fax (810) 342-2150
Phone(810) 342-2111
Sole ProprietorYes
Enumeration DateJuly 31, 2020
Last NPPES UpdateJune 27, 20213 updates tracked since enumeration
NPPES CertifiedJune 27, 2021
✔ NPI 1174133573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
401 S BALLENGER HWY, Flint, MI 48532
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Secondary Practice Location 1

Location 11632 Stone StSaginaw, MI 48602 · Phone (989) 583-6595

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Wodarek is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DUNYUE LU M.D.
Psychiatry & Neurology (Psychiatry)
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-4419
REBECCA S MOODY CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
PONGCHAYUT SURAPIPITH MD
Surgery
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-1000
NICOLE ELISE WESLEY CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY, ATTN SURGICAL SERVICES
FLINT, MI 48532
Genesee County (810) 342-4917
MARY ELLEN RINKS P.T.
Physical Therapist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2362
MCLAREN FLINT
Hospitalist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
CATHERINE TALLEY
Occupational Therapist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
BRENT ALLEN SCOTT CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY, ATTN SURGICAL SERVICES
FLINT, MI 48532
Genesee County (810) 342-4917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Wodarek's NPI number?

The NPI number for Jeremy Wodarek is 1174133573. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Where is Jeremy Wodarek located?

Jeremy Wodarek practices at 401 S Ballenger Hwy, Flint, MI 48532. The listed phone number is (810) 342-2111.

What is Jeremy Wodarek's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeremy Wodarek enrolled in Medicare?

Yes. Jeremy Wodarek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Wodarek was last updated on June 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.