Active NPI
Matthew Lee Zweerink, MD
- Surgery Physician
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- RL15204
- Practice address
- University of North Dakota SMHS, Department of Surgery
1301 N Columbia Rd, Stop 9037
Grand Forks, ND 58202-9037 - Phone
- (701) 777-3067
- NPI assigned
- Jul 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | RL15204 | ND | Primary |
Addresses
Primary practice location
University of North Dakota SMHS, Department of Surgery
1301 N Columbia Rd, Stop 9037
Grand Forks, ND 58202-9037
Mailing address
University of North Dakota SMHS, Department of Surgery
1301 N Columbia Rd, Stop 9037
Grand Forks, ND 58202-9037
Phone (701) 777-3067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- University of Missouri, Kansas City, School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000
1600 E Broadway Box 50 Attn Stephanie Windsor
Columbia, MO 65201-5844
1601 E Broadway
Suite 350
Columbia, MO 65201-8019
Phone (573) 815-2970
1705 E Broadway
Suite 280
Columbia, MO 65201-7185
Phone (573) 815-7119
Hospital & facility affiliations
- Boone Hospital Center
- University of Missouri Health Care
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Physician Services, LLC | Current | Accepting new patients |
Locations
1605 E Broadway
Ste 210
Columbia, MO 65201
Phone (573) 815-2236
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1601 E Broadway
Ste 350
Columbia, MO 65201
Phone (573) 443-8796
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1215414867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF NORTH DAKOTA SMHS, DEPARTMENT OF SURGERY",
"address_2": "1301 N COLUMBIA RD, STOP 9037",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582029037",
"telephone_number": "701-777-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF NORTH DAKOTA SMHS, DEPARTMENT OF SURGERY",
"address_2": "1301 N COLUMBIA RD, STOP 9037",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582029037",
"telephone_number": "701-777-3067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWEERINK",
"first_name": "MATTHEW",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-26",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ND",
"license": "RL15204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.