Individual provider Active NPI

Thomas J Zyniewicz II, DO

  • Emergency Medicine Physician
  • Muskegon, MI
National Provider Identifier
1497792733
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101010725 Issued in MI
Practice address
1500 E Sherman Blvd
Muskegon, MI 49443
Phone
(231) 739-9341
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101010725 MI Primary

Addresses

Primary practice location

1500 E Sherman Blvd
Muskegon, MI 49443

Mailing address

PO Box 673397
Detroit, MI 48267-3397
Phone (866) 898-7139

Other identifiers 3

IdentifierTypeStateIssuer
114231946MedicaidMI
TZ010725OtherMIBCBS
114745063MedicaidMI

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101010725MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epmg of Michigan, P.C. Emergency Medicine PastSince Aug 4, 2024 Accepting new patients
Carefirst Urgent Care, LLC PastSince Aug 9, 2020 Accepting new patients
Emergency Health Partners-Verde Valley PLC Emergency Medicine PastSince Feb 1, 2009 Accepting new patients
Clinic 21 of Connecticut LLC Emergency Medicine Past Accepting new patients
Emergency Health Partners Muskegon Emergency Medicine PastSince Apr 1, 2005 Accepting new patients
Emergency Health Partners Grand Haven PLC Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tzyniewicz9011@direct.umcsn.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1497792733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673397",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482673397",
            "telephone_number": "866-898-7139",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49443",
            "telephone_number": "231-739-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYNIEWICZ",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101010725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114231946",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "TZ010725",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114745063",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.