Active NPI
Michael R. Zerby
- Physician Assistant
- Evansville, IN
National Provider Identifier
1255942934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10002807A
- Practice address
- 100 E Walnut St
Evansville, IN 47713-1960 - Phone
- (865) 850-3697
- NPI assigned
- Aug 14, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10002807A | IN | Primary |
Addresses
Primary practice location
100 E Walnut St
Evansville, IN 47713-1960
Mailing address
300 Gallant Fox Way Apt 831
Knoxville, TN 37923-0913
Phone (865) 850-3697
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10002807A | IN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1255942934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 GALLANT FOX WAY APT 831",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379230913",
"telephone_number": "865-850-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E WALNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131960",
"telephone_number": "865-850-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERBY",
"first_name": "MICHAEL",
"middle_name": "R.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-14",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10002807A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.