John Lloyd Zinkel, MD, PHD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

4301048627 Issued in MI

Practice address

21605 E 11 Mile Rd
St Clair Shores, MI 48081-1636

Phone

(586) 774-4600

Fax

(586) 774-4603

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John L. Zinkel MD, PC

  • Specialist
  • Saint Clair Shores, MI
  • NPI 1932381571
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1033174636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 UNIVERSITY PL",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301636",
            "telephone_number": "586-774-4600",
            "fax_number": "586-774-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21605 E 11 MILE RD",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811636",
            "telephone_number": "586-774-4600",
            "fax_number": "586-774-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINKEL",
        "first_name": "JOHN",
        "middle_name": "LLOYD",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301048627",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35 050159",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1405016511",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "E89394",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2961425",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Zemenick
• Amer Mohamed Zeni, MD
• Natalya Starr Zerka, TLLP
• Janaina Matteussi Zilli, MD
• Christopher N Zingas, MD
• Shoshan P Zolo, MD
• James Zurawski, M.D.
• Joseph Michael Zylik, DDS

• Neurological Surgery Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.