Julia Christine Zaddock, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704281145 Issued in MI

Practice address

12800 Toronto St.
Detroit, MI 48217

Phone

(313) 297-6004

Fax

(313) 297-4738

NPI assigned

Apr 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine of DearbornGroup PAC ID 5799908240, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Internal Medicine of Dearborn

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1164846739
  Medicare reassignment Care Compare group NPD
• A Ahmad MD PLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1306313515
  Medicare reassignment NPD
• Im Consultant

  • Urgent Care Clinic/Center
  • Detroit, MI
  • NPI 1023644242
  Medicare reassignment NPD
• Primedical Healthcare Associates PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1396521662
  Medicare reassignment NPD
• Millennium Medical Group South PC

  • Internal Medicine Physician
  • Taylor, MI
  • NPI 1265468623

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1578026076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12764 VENNESS ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951140",
            "telephone_number": "734-674-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 TORONTO ST.",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48217",
            "telephone_number": "313-297-6004",
            "fax_number": "313-297-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADDOCK",
        "first_name": "JULIA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704281145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Zabat
• Charles Joseph Zabinski, DPT
• Janice Antoiinette Zachary
• Marcia Zacks, MSW
• Adi Zaclli, MD
• Jaime Brooke Zadoff, O.D., FAAO
• Lara Natalie Zador, MD
• Uzma Zafar, MD
• Maie Zagloul, MD
• Sulmaz Zahedi

• Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.