Michael J Zich, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

27758 Issued in NC

Practice address

608 Tilghman Dr
Dunn, NC 28334-5525

Phone

(910) 892-4092

Fax

(910) 892-0788

NPI assigned

Jul 7, 2005

Reactivated

Apr 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mzich95422@capefearvalley.direct-ci.com

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

• Harnett OBGYN LLC

  • Obstetrics & Gynecology Physician
  • Dunn, NC
  • NPI 1043510696
  Medicare reassignment NPD
• Dunn OB GYN Associates

  • Specialist
  • Dunn, NC
  • NPI 1447216874
  NPD (past) Authorized official

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1083611909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345525",
            "telephone_number": "910-892-4092",
            "fax_number": "910-892-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345525",
            "telephone_number": "910-892-4092",
            "fax_number": "910-892-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-03-11",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "27758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "0146C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989920",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Young, MSW, LCSWA
• Charles John Youngblade Jr., DDS
• Hillary Zanenghi, M.ED. CCC-SLP
• Viktoriia Zarovniaeva
• Cathy Zhao, MS, CCC-SLP

• Specialist in Dunn, NC
• Providers in Dunn, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.