Active NPI
Michael John Zigich, M.D.
- Anesthesiology Physician
- Twin Falls, ID
National Provider Identifier
1275695322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M-5427
- Practice address
- 2107 Concordia Way
Twin Falls, ID 83301-4362 - Phone
- (208) 734-0831
- Fax
- (208) 734-0831
- NPI assigned
- Dec 15, 2006
- Last updated
- Jan 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036111238 | IL | |
| Anesthesiology Physician | 207L00000X | M-5427 | ID | Primary |
Addresses
Primary practice location
2107 Concordia Way
Twin Falls, ID 83301-4362
Mailing address
2107 Concordia Way
Twin Falls, ID 83301-4362
Phone (208) 734-0831
Other practice location 1
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001617300 | Medicaid | ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mzigich157870@ewd.direct.hshs.org | Direct |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-5427 | ID | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Anesthesia Care of Effingham, SC | Anesthesiology | Past | Accepting new patients |
| Central Illinois Associates LTD | Anesthesiology | Past | Accepting new patients |
| Yakima Hma Physician Management LLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Effingham, IL
- NPI 1528126372
-
- Pain Medicine (Anesthesiology) Physician
- Decatur, IL
- NPI 1558425462
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Family Medicine Physician
- Yakima, WA
- NPI 1730139510
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1275695322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 CONCORDIA WAY",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014362",
"telephone_number": "208-734-0831",
"fax_number": "208-734-0831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 CONCORDIA WAY",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014362",
"telephone_number": "208-734-0831",
"fax_number": "208-734-0831"
}
],
"practiceLocations": [
{
"address_1": "1 Saint Elizabeth Blvd",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "IL",
"postal_code": "622691099",
"country_code": "US",
"telephone_number": "618-234-2120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIGICH",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036111238",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ID",
"license": "M-5427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001617300",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mzigich157870@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1 Saint Elizabeth Blvd",
"city": "O Fallon",
"state": "IL",
"country_code": "US",
"postal_code": "622691099",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.