Ira Zachary Dyme MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

4301046743 Issued in MI

Legal business name

IRA ZACHARY DYME MD

Practice address

2909 E Grand Riv
Suite 108
Lansing, MI 48912-4300

Phone

(517) 482-1111

Fax

(517) 482-1119

NPI assigned

Nov 10, 2006

Last updated

Jul 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ira Zachary Dyme, MD

Title

Owner

Phone

(517) 482-1111

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• I. Zachary Dyme, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • East Lansing, MI
  • NPI 1275604407
  NPD (past)
• Rhana J Dyme, MSW, ACSW

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1124108220
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1043381288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 E GRAND RIV",
            "address_2": "SUITE 108",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124300",
            "telephone_number": "517-482-1111",
            "fax_number": "517-482-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 E GRAND RIV",
            "address_2": "SUITE 108",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124300",
            "telephone_number": "517-482-1111",
            "fax_number": "517-482-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA ZACHARY DYME MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "DYME",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-482-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MI",
            "license": "4301046743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101559420",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "3503311161",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology with Special Qualifications in Child Neurology Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.