Active NPI
Christina I Zachar, M.D.
- Psychiatry Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- CZ063129
- Practice address
- 2301 E Michigan Ave
Jackson, MI 49202-3700 - Phone
- (517) 784-6729
- Fax
- (517) 784-7546
- NPI assigned
- Sep 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | CZ063129 | MI | Primary |
Addresses
Primary practice location
2301 E Michigan Ave
Jackson, MI 49202-3700
Mailing address
950 W Monroe St
Suite 600
Jackson, MI 49202-2079
Phone (517) 784-6729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CZ063129 | Other | MI | MD LICENSE |
Other names 1
- Christina I Korduba
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Psychiatry
- Education
- Michigan State University College of Human Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
212 E Biddle St
Jackson, MI 49203-1800
Phone (517) 783-3434
216 E Biddle St
Suite 100
Jackson, MI 49203-1800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CZ063129 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Segue Inc | Current | Accepting new patients | |
| Jackson-Hillsdale Community Mental Health Board | Current | Accepting new patients | |
| Jackson-Hillsdale Community Mental Health Board | Current | Accepting new patients | |
| Rose Hill Center Inc | Past | Accepting new patients | |
| Rose Hill Center Inc | Past | Accepting new patients |
Locations
3200 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-0114
2301 E Michigan Ave
Jackson, MI 49202
Phone (517) 783-3434
1200 N West Ave
Jackson, MI 49202
Phone (517) 789-1200
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MI
- NPI 1063466274
-
- Adult Mental Health Clinic/Center
- Jackson, MI
- NPI 1174634315
-
- Psychiatric Residential Treatment Facility
- Jackson, MI
- NPI 1891417085
-
- Mental Illness Community Based Residential Treatment Facility
- Holly, MI
- NPI 1053495648
-
- Community/Behavioral Health Agency
- Holly, MI
- NPI 1699308734
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1265534804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 W MONROE ST",
"address_2": "SUITE 600",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022079",
"telephone_number": "517-784-6729",
"fax_number": "517-784-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 E MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023700",
"telephone_number": "517-784-6729",
"fax_number": "517-784-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHAR",
"first_name": "CHRISTINA",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-03",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "CZ063129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "CZ063129",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "KORDUBA",
"middle_name": "I",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.