Grosse Pte Obstetrics & GYN PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

GZ051612 Issued in MI

Legal business name

GROSSE PTE OBSTETRICS & GYN PC

Practice address

25910 Kelly Rd
Ste 9
Roseville, MI 48066-4466

Phone

(586) 779-6222

Fax

(586) 779-6228

NPI assigned

Nov 30, 2006

Last updated

Dec 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grazyna Krystina Zajdel, M.D.NPI 1467560375

Title

Corporation President

Phone

(313) 882-6780

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Grosse Pointe Ob &Gyn Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grazyna K Zajdel, MD

  • Obstetrics & Gynecology Physician
  • Grosse Pointe, MI
  • NPI 1467560375
  NPD Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1396812624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 KELLY RD",
            "address_2": "STE 9",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664466",
            "telephone_number": "586-779-6222",
            "fax_number": "586-779-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25910 KELLY RD",
            "address_2": "STE 9",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664466",
            "telephone_number": "586-779-6222",
            "fax_number": "586-779-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSE PTE OBSTETRICS & GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "ZAJDEL",
        "authorized_official_first_name": "GRAZYNA",
        "authorized_official_middle_name": "KRYSTINA",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "313-882-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "GZ051612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "1608250512",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3383620",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP PROVIDER NUMBER",
            "identifier": "A78218",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI STATE LICENSE",
            "identifier": "GZ051612",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACOG NUMBER",
            "identifier": "0360747",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grosse Pointe Ob &Gyn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ivan L Green
• Tonya Grier
• Groesbeck Occupational Medical Center
• Gross Pointe Urologic Surgeons (Thomas Mertz MD)
• Grosse Pointe Urologic Surgeons
• Christina Rae Grzadzinski, PCR
• Guarding Angels Home Care
• Vamshidhar Guduguntla, MD
• Amy Michelle Guinn, D.C.
• Kerri Sue Gustafson, DDS

• Specialist in Roseville, MI
• Providers in Roseville, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.