Chris Zielinski Dopc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101013068 Issued in MI

Legal business name

CHRIS ZIELINSKI DOPC

Doing business as

Executive Family and Sports

Practice address

771 Kenmoor Ave SE
Grand Rapids, MI 49546-2370

Phone

(616) 734-0335

Fax

(616) 949-8540

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Zielinski, DONPI 1235132622

Title

President

Phone

(616) 734-0335

Specialties & licenses 1

Addresses

Other names 1

• Executive Family and Sports Doing business as

Practitioners 1

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

• Christopher F Zielinski, DO

  • Family Medicine Physician
  • Lees Summit, MO
  • NPI 1235132622
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1336201565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8306",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495188306",
            "telephone_number": "616-734-0335",
            "fax_number": "616-949-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 KENMOOR AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462370",
            "telephone_number": "616-734-0335",
            "fax_number": "616-949-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS ZIELINSKI DOPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "ZIELINSKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-734-0335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Family and Sports",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wafae Chouhani, MD
• Eric Q Chow, M.D.
• Nabila Chowdhury, M.D.
• Chris Postema LLC
• Chris Roberts LMSW Counseling
• Christ Life Counseling Center of Grand Rapids
• Alice Christensen
• Ashley Marie Christensen, HIS
• Dana J Christensen, ADN, RN
• Harriet Vogan Christensen, MSW

• Family Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.