Heather Zacur, PC
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Brownstown TWP, MI
NPI 1174837405 · NPPES record last updated Sep 20, 2010
Key facts
- NPI
- 1174837405
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 4301097317 (MI)
- Legal business name
- HEATHER ZACUR, PC
- Practice address
- 19725 Allen Rd
Suite 102
Brownstown TWP, MI 48183-1090 - Phone
- (734) 479-7246
- NPI assigned
- Jul 28, 2010
- Organization subpart
- No
Authorized official
- Name
- Heather A. Zacur, MD
- Title
- Authorized Representative
- Phone
- (734) 479-7246
Practitioners 1
-
Heather Assad Zacur, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110118001148 | MI | Part B Supplier - Clinic/Group Practice | 5597954867 |
Receives reassigned benefits from 1 practitioner Practice locations: Dearborn, MI |
National Provider Directory
Locations
19725 Allen Rd
Ste 102
Brownstown Twp, MI 48183
Phone (734) 479-7246
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | 4301097317 | MI | Yes |
Addresses
Primary practice location
19725 Allen Rd
Suite 102
Brownstown TWP, MI 48183-1090
Mailing address
PO Box 674361
Detroit, MI 48267-0001
Other names
- Zacur Pain Management
Other providers in Brownstown TWP, MI
- Crystal Hales
- Liliana Hall
- Benjamin Lawrence Hanson
- Health Link Home Care, Inc
- Healthpro Heritage Rehab & Fitness, LLC
- Henry Ford Hospital
- Henry Ford Wyandotte Hospital
- Henry Ford Wyandotte Hospital
- James William Hill
- Paul S Ho
All providers in Brownstown TWP, MI · Pain Medicine (Anesthesiology) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.