Todd Staniszewski Od PC
NPI 1730347808ActiveOrganization· Preferred Provider Organization· Clarkston, MI
Preferred Provider Organization in Clarkston, Michigan, registered in NPPES in May 2008. The authorized official on file is Janet Hurst, Billing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730347808 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2008 |
| Last updated in NPPES | May 21, 2021 |
| Certified by provider | May 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 4901003704 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
Other Preferred Provider Organization providers in Clarkston
- 1033262217