DEREK D ZORN (NPI# 1720425697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720425697 |
| Entity Type | Individual |
| Full Name | DEREK D ZORN |
| Credential | PAC |
| Practice Address |
15855 Ninteen Mile Road Emergency Dept Clinton Township MI 48038-3504 |
| Mailing Address |
38935 Ann Arbor Rd Credentialing Dept Livonia MI 48150-3397 |
| Practice Telephone | 5862632601 |
| Practice Fax Number | 5862632589 |
| Mailing Telephone | 7348050488 |
| Mailing Fax Number | 8662506385 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601006680 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CAQH | 12552784 | 01 |
| Street Address |
15855 NINTEEN MILE ROAD EMERGENCY DEPT |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847581 | Vivek Oza | Physician Assistant | 18967 S Highlite Dr, Clinton Township, MI 48035-2544 | 2020-09-30 |
| 1366957136 | Betsy Thomas | Physician Assistant | 15945 19 Mile Rd Ste 202, Clinton Township, MI 48038-1147 | 2017-12-03 |
| 1437403482 | Nicole R Ferrari | Physician Assistant | 15855 Ninteen Mile Rd, Emergency Dept, Clinton Township, MI 48038-3504 | 2012-10-30 |
| 1922328707 | Oana Sorina Sturza | Physician Assistant | 42196 Lochmoor St, Clinton Township, MI 48038-1772 | 2010-06-03 |
| 1487287991 | Cristina Bustamante | Physician Assistant | 43740 Garfield Rd, Clinton Township, MI 48038-1122 | 2020-02-13 |
| 1952899742 | Marcos Yassa | Physician Assistant | 37150 S Gratiot Ave, Clinton Township, MI 48036 | 2018-04-26 |
| 1225525868 | Kathryn Christlieb | Physician Assistant | 16151 19 Mile Rd, Ste 300, Clinton Township, MI 48038-1159 | 2018-04-19 |
| 1114426020 | Kay Mcknight | Physician Assistant | 37150 S Gratiot Ave, Clinton Township, MI 48036-2702 | 2018-02-06 |
| 1265930747 | Amy Ebbing | Physician Assistant | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2018-01-30 |
| 1639688393 | Colette Marie Icasiano Clayton | Physician Assistant | 39621 Garfield Rd, Clinton Township, MI 48038-4302 | 2017-09-26 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on DEREK D ZORN.
| 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.