DR. JACK JAMES TWAROZYNSKI MD
NPI 1356034482
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Jack Twarozynski's NPI number?

The NPI number for Jack Twarozynski is 1356034482. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Q: What is Jack Twarozynski's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Twarozynski was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 02, 2023PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jack James Twarozynski Md NPPES

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

DR. JACK JAMES TWAROZYNSKI MD (NPI 1356034482) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351051764) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356034482

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JACK JAMES TWAROZYNSKICredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2689 · (313) 916-2600

Phone(313) 916-2600

Sole ProprietorYes

Enumeration DateJune 2, 2023

NPPES CertifiedJune 2, 2023

✔ NPI 1356034482 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

License✔ Licensed in MI · 4351051764

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.

2799 W GRAND BLVD, Detroit, MI 48202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack James Twarozynski Md 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.

HENRY FORD HOSPITAL

General Acute Care Hospital