NPIMap

Organization Active NPI

Jerry E Zayid DPM PC

  • Podiatrist
  • Commerce TWP, MI
National Provider Identifier
1447347406
Registry record updated May 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001059 Issued in MI
Legal business name
JERRY E ZAYID DPM PC
Practice address
2559 Union Lake Rd
Commerce TWP, MI 48382-3555
Phone
(248) 245-3392
Fax
(248) 363-8652
NPI assigned
Oct 9, 2006
Last updated
May 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2015

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

Authorized official

Name
Dr. Jerry E Zayid, DPMNPI 1871545020
Title
President
Phone
(248) 245-3392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001059 MI Primary

Addresses

Primary practice location

2559 Union Lake Rd
Commerce TWP, MI 48382-3555

Mailing address

2559 Union Lake Rd
Commerce TWP, MI 48382-3555
Phone (248) 245-3392

Other identifiers 9

IdentifierTypeStateIssuer
0D41146OtherMIBLUE CROSS
103578MedicaidMI
2594961MedicaidMI
OH71150OtherMIBLUE CROSS
2121060MedicaidMI
O-EO-2656-OOtherMIBLUE CROSS SUPPLIER PIN
5501440OtherMIBLUECROSS
OEO2782OtherMIBLUE CROSS
OEO3185OtherMHBLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430524800000",
    "number": "1447347406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 UNION LAKE RD",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483823555",
            "telephone_number": "248-245-3392",
            "fax_number": "248-363-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 UNION LAKE RD",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483823555",
            "telephone_number": "248-245-3392",
            "fax_number": "248-363-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY E ZAYID DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2015-05-02",
        "status": "A",
        "authorized_official_last_name": "ZAYID",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-245-3392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0D41146",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103578",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2594961",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "OH71150",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2121060",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SUPPLIER PIN",
            "identifier": "O-EO-2656-O",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "5501440",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "OEO2782",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "OEO3185",
            "state": "MH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2015; 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.