DR. CHARLES LEROY ZELLER JR. (NPI# 1457465734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457465734 |
| Entity Type | Individual |
| Full Name | DR. CHARLES LEROY ZELLER JR. |
| Credential | MD |
| Practice Address |
125 S Kalamazoo Mall Suite 204 Kalamazoo MI 49007-4832 |
| Practice Telephone | 2693433900 |
| Practice Fax Number | 2693435640 |
| Mailing Telephone | 2693433900 |
| Mailing Fax Number | 2693435640 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2010-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4301030668 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 10/273833 | 05 | |
| MI | 10/487012 | 05 | |
| MI | 10/2698741 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114960820 | Charles J. Zeller IIi | Family Medicine | 1045 Channingway Dr., Fairborn, OH 45324-9244 | 2006-06-13 |
| 1720086366 | Charles J Zeller Iv | Otolaryngology | 1601 S Andrews Ave Fl 3, Fort Lauderdale, FL 33316-2509 | 2005-07-08 |
| Street Address |
125 S KALAMAZOO MALL SUITE 204 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-4832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952381550 | Denisha Ann Pierman | Physician Assistant | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-01-19 |
| 1023454832 | Jonathan Ross Dadurian | Emergency Medicine | 125 S Kalamazoo Mall, Ste 204, Kalamazoo, MI 49007 | 2013-05-20 |
| 1174886493 | Andrew Kurkiewicz | Physician Assistant | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2012-06-21 |
| 1104187657 | Laura Kujacznski | Physician Assistant | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2012-05-31 |
| 1275894958 | Steven Kurt Waskiewicz | Nurse Practitioner | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2012-05-30 |
| 1205064458 | Jessica Ann Wright | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2009-06-26 |
| 1679721096 | Jarod L Bailey | Physician Assistant | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2008-08-28 |
| 1770739302 | Ashley M Bays | Physician Assistant | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2008-08-14 |
| 1033312343 | Ryan Steven Smith | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2007-06-06 |
| 1689894529 | Jessica Jean Mccoy | Emergency Medicine | 125 S Kalamazoo Mall, Suite 206, Kalamazoo, MI 49007-4832 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| Find all providers in zip 49007 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031157 | Michael Nestorak | Emergency Medicine | 601 John St, Kalamazoo, MI 49007-5341 | 2019-09-09 |
| 1609350586 | Autumn Rose Miller | Emergency Medicine | 601 John St, Kalamazoo, MI 49007-5341 | 2018-09-18 |
| 1780167957 | Brett D Birch | Emergency Medicine | 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007-4869 | 2018-09-12 |
| 1063994424 | Katelyn Elizabeth Amos | Emergency Medicine | 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007-4869 | 2018-09-02 |
| 1366897670 | Kalamazoo Acute Care Specialists Plc | Emergency Medicine | 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | 2016-04-25 |
| 1811174899 | Southwestern Michigan Emergency Services, PC | Emergency Medicine | 601 John St, Emergency Department, Kalamazoo, MI 49007-5341 | 2008-01-22 |
| 1013021310 | Southwestern Michigan Emergency Services, PC | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-08-17 |
| 1780618496 | Scott D. Larson | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-07-10 |
| 1699704551 | Wesley L. Rigot | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-07-02 |
| 1578591483 | Mary P. Wilkins | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-06-29 |
| Find all providers in KALAMAZOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.