Zarka Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ZARKA DERMATOLOGY PLLC

Practice address

1057 Suncrest Dr
Lapeer, MI 48446-4404

Phone

(810) 245-9380

Fax

(810) 245-9385

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Marvinna Stewart

Title

Billing/Credentialing

Phone

(313) 454-8315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

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

• Reema Habra, MD

  • Dermatology Physician
  • Clinton Township, MI
  • NPI 1982133021
  Medicare reassignment Care Compare group NPD
• Mohammad Zarka, D.O.

  • Dermatology Physician
  • Lapeer, MI
  • NPI 1144459942
  Medicare reassignment Care Compare group NPD
• Jessica Jeanette McLeod, NP

  • Family Nurse Practitioner
  • Fort Gratiot, MI
  • NPI 1700163672
  Medicare reassignment NPD
• David Brian O'Donnell, M.D.

  • Dermatology Physician
  • Saginaw, MI
  • NPI 1831152446
  NPD (past)
• Loretta Register O'Donnell, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Saginaw, MI
  • NPI 1861613556
  NPD (past)

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1346958618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713195",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770395",
            "telephone_number": "858-220-2707",
            "fax_number": "810-245-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484464404",
            "telephone_number": "810-245-9380",
            "fax_number": "810-245-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZARKA DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MARVINNA",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "313-454-8315"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Elizabeth Young, NP-C, NP-BC
• Kelly Young, PTA
• Shaunna Young
• Zachary Hillman DO PLLC
• Kaylee Zapata, BS
• Mohammad Zarka, D.O.
• Randa Zarka
• Laura Renae Zawodni
• Samuel George Zeabari, D.C.
• William V Zemnickas II, D.O

• Dermatology Physician in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.