Individual provider Active NPI

Melissa Katherine Zerwas, PA-C

  • Physician Assistant
  • Commerce Township, MI
National Provider Identifier
1396012829
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006210 Issued in MI
Practice address
8896 Commerce Rd
Suite 5
Commerce Township, MI 48382-4494
Phone
(248) 360-9241
Fax
(248) 360-0830
NPI assigned
Nov 29, 2011
Last updated
May 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006210 MI Primary

Addresses

Primary practice location

8896 Commerce Rd
Suite 5
Commerce Township, MI 48382-4494

Mailing address

8896 Commerce Rd
Suite 5
Commerce Township, MI 48382-4494
Phone (248) 360-9241

Other names 1

  • Melissa Katherine Dick Former name

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601006210MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Center Pediatrics PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1396012829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8896 COMMERCE RD",
            "address_2": "SUITE 5",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824494",
            "telephone_number": "248-360-9241",
            "fax_number": "248-360-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8896 COMMERCE RD",
            "address_2": "SUITE 5",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824494",
            "telephone_number": "248-360-9241",
            "fax_number": "248-360-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERWAS",
        "first_name": "MELISSA",
        "middle_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DICK",
            "middle_name": "KATHERINE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.