Roger W Zander, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704118315 Issued in MI

Practice address

22211 Morley Ave
Dearborn, MI 48124-2110

Phone

(313) 492-5056

Fax

(313) 565-8156

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://phsfhir.primehealthcare.com/PHS-PRD-FHIR/api/FHIR/R4

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.

• Garden City Hospital

  • Certified Registered Nurse Anesthetist
  • Garden City, MI
  • NPI 1023052420

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1144236274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22211 MORLEY AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242110",
            "telephone_number": "313-492-5056",
            "fax_number": "313-565-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22211 MORLEY AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242110",
            "telephone_number": "313-492-5056",
            "fax_number": "313-565-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDER",
        "first_name": "ROGER",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704118315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104329540",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MI",
            "identifier": "RZ118315",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamad Zalzala
• Sajad Zalzala, M.D.
• Omer Zaman, MD
• Sardar Asim Zaman, M.D.,
• Mariah Zammit
• Stuart Zander
• Paige Renee Zarb, LMSW
• Mohanad Zawahra
• Henry Zawu, BSW
• Nuha Zayad

• Certified Registered Nurse Anesthetist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.