Zachary Kanjuparamban MDPC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301033831 Issued in MI

Legal business name

ZACHARY KANJUPARAMBAN MDPC

Practice address

211 S Crapo St
Suite D
Mt Pleasant, MI 48858-2961

Phone

(989) 772-1989

Fax

(989) 772-5523

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Jennifer McConkie

Title

Office Manager

Phone

(989) 772-1989

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1609009984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S CRAPO ST",
            "address_2": "SUITE D",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582961",
            "telephone_number": "989-772-1989",
            "fax_number": "989-772-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CRAPO ST",
            "address_2": "SUITE D",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582961",
            "telephone_number": "989-772-1989",
            "fax_number": "989-772-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY KANJUPARAMBAN MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "MCCONKIE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-772-1989"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301033831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1425759",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah A Yonder, M.D.
• Straum Erik Yorton, ATC
• Mark D Young, DPM
• Maryissa Eileen Young
• Carrie Youssef, COTA
• Sarah Zajac
• Jeffrey Lee Zarr, O.D,
• Kristina Zemelis, BSW
• Lora Lee Zenz, RN
• Weiguo Zhao, M.D.

• Specialist in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Specialist in Michigan

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