Organization Active NPI

Claudia Zacharek MD PLC

  • Nephrology Physician
  • Saginaw, MI
National Provider Identifier
1265733307
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301092586 Issued in MI
Legal business name
CLAUDIA ZACHAREK MD PLC
Practice address
4200 Fashion Square Blvd
Saginaw, MI 48603-1375
Phone
(989) 293-4509
Fax
(989) 799-6459
NPI assigned
Nov 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Claudia Zacharek, MDNPI 1275692642
Title
Owner
Phone
(989) 293-4509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 4301092586 MI Primary

Addresses

Primary practice location

4200 Fashion Square Blvd
Saginaw, MI 48603-1375

Mailing address

4200 Fashion Square Blvd
Saginaw, MI 48603-1375
Phone (989) 293-4509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101214000646 MI Part B Supplier - Clinic/Group Practice 7416144670 Receives reassigned benefits from 3 practitioners
Practice locations: West Branch, MI; Saginaw, MI; Midland, MI; Bad Axe, MI; Bay City, MI; Bridgeport, MI; Caro, MI; Cass City, MI…

National Provider Directory

National Provider Directory

Locations

3250 E Midland Rd
Bay City, MI 48706
Phone (989) 667-6802

323 N Michigan Ave
Saginaw, MI 48602
Phone (989) 791-3624

4200 Fashion Square Blvd
Saginaw, MI 48603
Phone (989) 249-3200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1265733307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 FASHION SQUARE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031375",
            "telephone_number": "989-293-4509",
            "fax_number": "989-799-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 FASHION SQUARE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031375",
            "telephone_number": "989-293-4509",
            "fax_number": "989-799-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDIA ZACHAREK MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "ZACHAREK",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-293-4509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301092586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.