DR. PAUL MARTIN ZACK (NPI# 1982639704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982639704 |
| Entity Type | Individual |
| Full Name | DR. PAUL MARTIN ZACK |
| Credential | M.D. |
| Practice Address |
2134 Hampton Pl Okemos MI 48864-3691 |
| Practice Telephone | 5173473000 |
| Practice Fax Number | 5173478393 |
| Mailing Telephone | 5173473000 |
| Mailing Fax Number | 5173479393 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
430146829 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1982639704 | 05 |
| Street Address |
2134 HAMPTON PL |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-3691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689649527 | Ibrahim Shah | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2006-02-22 |
| 1962032458 | Emily Van Hoogstraat | Nurse Practitioner | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2020-01-23 |
| 1629588108 | Jessie Jean Mcwaters | Physician Assistant | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2017-10-10 |
| 1205204898 | Elizabeth Mccomb | Physician Assistant | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2015-09-13 |
| 1336491232 | Mclaren Greater Lansing | Physician Assistant | 2134 Hampton Pl, Okemos, MI 48864 | 2012-10-03 |
| 1205100070 | Muhammad Awais Kang | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864 | 2012-02-26 |
| 1316240567 | Mclaren Greater Lansing | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2010-12-09 |
| 1811223498 | Teresa Marie Wertheimer | General Practice | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2009-11-02 |
| 1295949030 | Mohan C Madala | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2007-05-10 |
| 1699849752 | Katherine A England | Nurse Practitioner | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2006-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316240567 | Mclaren Greater Lansing | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2010-12-09 |
| 1295949030 | Mohan C Madala | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2007-05-10 |
| 1467521930 | Michael F Grimm | Internal Medicine | 3413 Woods Edge, Okemos, MI 48864-6920 | 2006-11-07 |
| 1376612846 | Eugene B Choo | Internal Medicine | 3413 Woods Edge, Okemos, MI 48864-6920 | 2006-11-07 |
| 1164499307 | Omar Bakr | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154458 | Spectrum Health Primary Care Partners | Internal Medicine | 749 Phillips St, South Haven, MI 49090-1842 | 2020-11-05 |
| 1902413891 | Atria Vascular & Vein, Pllc | Internal Medicine | 32255 Northwestern Hwy Ste 115a, Farmington Hills, MI 48334-1566 | 2020-09-25 |
| 1538785415 | Lakes Cardiology PC | Internal Medicine | 9640 Commerce Rd Ste 106, Commerce Twp, MI 48382-4167 | 2020-06-17 |
| 1811468895 | Telemedico Physicians of Michigan | Internal Medicine | 24359 Northwestern Hwy Ste 200, Southfield, MI 48075-2597 | 2018-12-17 |
| 1639644305 | Metropolitan Cardiovascular | Internal Medicine | 28667 Bayberry Ct E, Livonia, MI 48154-3869 | 2018-10-09 |
| 1194202234 | Mvp Endovascular Center Pllc | Internal Medicine | 22720 Michigan Ave Ste 300, Dearborn, MI 48124-2035 | 2018-07-22 |
| 1366992059 | Renew Research LLC | Internal Medicine | 26800 Haggerty Rd, Farmington Hills, MI 48331-5715 | 2016-10-06 |
| 1972051530 | Michael Abdul-malek Do Pllc | Internal Medicine | 1380 Coolidge Hwy Ste 250, Troy, MI 48084-7067 | 2016-09-13 |
| 1205389384 | Elite Medical Enterprises, Inc. | Internal Medicine | 7750 Schaefer Rd Ste 202, Dearborn, MI 48126-1159 | 2016-07-26 |
| 1265803316 | Alpine Cardiology, Pllc | Internal Medicine | 101 E Mitchell St, Gaylord, MI 49735-1460 | 2015-10-15 |
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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.