Individual provider Active NPI

Christina I Zachar, M.D.

  • Psychiatry Physician
  • Jackson, MI
National Provider Identifier
1265534804
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
CZ063129 Issued in MI
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

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CZ063129OtherMIMD LICENSE

Other names 1

  • Christina I Korduba Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215000517 MI Practitioner - Psychiatry 8022060318 Reassigns benefits to 2 organizations

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
Jackson-Hillsdale Community Mental Health BoardGroup PAC ID 6406808062, 27 clinicians

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

LicenseStateTypeSpecialty
CZ063129MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Segue Inc CurrentSince Oct 1, 2006 Accepting new patients
Jackson-Hillsdale Community Mental Health Board CurrentSince Oct 1, 2024 Accepting new patients
Jackson-Hillsdale Community Mental Health Board CurrentSince Oct 1, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.