Individual provider Active NPI

Rawan Zeidan, PA

  • Physician Assistant
  • Grand Blanc, MI
National Provider Identifier
1265083992
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011083 Issued in MI
Practice address
8203 S Saginaw St Ste a
Grand Blanc, MI 48439-2434
Phone
(810) 953-3600
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011083 MI Primary

Addresses

Primary practice location

8203 S Saginaw St Ste a
Grand Blanc, MI 48439-2434

Mailing address

8203 S Saginaw St Ste a
Grand Blanc, MI 48439-2434
Phone (810) 953-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210914001591 FL Practitioner - Physician Assistant 0547666729 Reassigns benefits to 1 organization
I20230301002150 MI Practitioner - Physician Assistant 0547666729 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Physician Assistant CurrentSince Oct 18, 2021 Accepting new patients
MCR Health, Inc. CurrentSince Oct 18, 2021 Accepting new patients
Mid Michigan Center for Sleep Disorders Inc CurrentSince Nov 30, 2025 Accepting new patients
Genesys Integrated Group Practice PC PastSince Feb 19, 2023 Accepting new patients

Locations

6001 21st Ave W
Bradenton, FL 34209
Phone (941) 761-4448

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

8203 S Saginaw St
Ste A
Grand Blanc, MI 48439
Phone (810) 354-7550

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1265083992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 S SAGINAW ST STE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392434",
            "telephone_number": "810-953-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 S SAGINAW ST STE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392434",
            "telephone_number": "810-953-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDAN",
        "first_name": "RAWAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.