Organization Active NPI

Jerry E Zayid DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Imlay City, MI
National Provider Identifier
1114178373
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001059 Issued in MI
Legal business name
JERRY E ZAYID DPM PC
Practice address
1795A S Cedar St
Imlay City, MI 48444-1342
Phone
(810) 724-8030
Fax
(586) 731-5937
NPI assigned
Oct 7, 2008
Organization subpart
Yes
Parent organization
JERRY E ZAYID DPM PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Dr. Jerry E Zayid, DPM
Title
President
Phone
(810) 724-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901001059 MI Primary

Addresses

Primary practice location

1795A S Cedar St
Imlay City, MI 48444-1342

Mailing address

2559 Union Lake Rd
Commerce TWP, MI 48382-3555
Phone (810) 724-8030

Other identifiers 7

IdentifierTypeStateIssuer
5501440OtherMIBLUE CROSS
OEO1735OtherMIBLUE CROSS
0D41146OtherMIBLUE CROSS
103578MedicaidMI
2594961MedicaidMI
2121060MedicaidMI
OH71151OtherMIBLUE CROSS

National Provider Directory

National Provider Directory
Part of
Jerry E Zayid DPM PC

Locations

1795A S Cedar St
Imlay City, MI 48444
Phone (810) 724-8030

50551 Van Dyke Ave
Ste 400
Shelby Township, MI 48317
Phone (586) 731-0600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1114178373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 UNION LAKE RD",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483823555",
            "telephone_number": "810-724-8030",
            "fax_number": "810-721-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795A S CEDAR ST",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484441342",
            "telephone_number": "810-724-8030",
            "fax_number": "586-731-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY E ZAYID DPM PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JERRY E ZAYID DPM PC",
        "enumeration_date": "2008-10-07",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "ZAYID",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-724-8030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5501440",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "OEO1735",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0D41146",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103578",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2594961",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2121060",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "OH71151",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Imlay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.