Mary Nina Zrull, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301502823 Issued in MI

Practice address

35103 Silvano St
Clinton TWP, MI 48035-2685

Phone

(586) 791-5250

NPI assigned

Jun 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Hermiz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1609305846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35103 SILVANO ST",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352685",
            "telephone_number": "586-791-5250",
            "fax_number": "586-791-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35103 SILVANO ST",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352685",
            "telephone_number": "586-791-5250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Genesys Pkwy",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "48439",
            "country_code": "US",
            "telephone_number": "810-606-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZRULL",
        "first_name": "MARY",
        "middle_name": "NINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-10",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301113060",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301502823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HERMIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lynnette Marie Zigo, NP
• Nicolas H Zingas, MD
• Roger Arnold Zinke Jr., RN
• Zion Healing Centers Mi LLC
• Ingrid Zomboreanu Boettcher, MSW, LMSW
• Karen Jeanne Zuccaro, P.T.
• Kristopher William Zuhl, D.O.
• Steven Frederick Zuska, M.D.

• Family Medicine Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.