Active NPI
Thomas Michael Zizic, M.D.
- Rheumatology Physician
- Baltimore, MD
National Provider Identifier
1609900109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- D0012471
- Practice address
- 5601 Loch Raven Blvd
RMB Suite 509
Baltimore, MD 21239-2905 - Phone
- (410) 340-7819
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | D0012471 | MD | Primary |
Addresses
Primary practice location
5601 Loch Raven Blvd
RMB Suite 509
Baltimore, MD 21239-2905
Mailing address
47 Loveton Cir Ste R
Sparks, MD 21152-9216
Phone (410) 472-7203
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0012471 | MD | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609900109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 LOVETON CIR STE R",
"city": "SPARKS",
"state": "MD",
"postal_code": "211529216",
"telephone_number": "410-472-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"address_2": "RMB SUITE 509",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392905",
"telephone_number": "410-340-7819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIZIC",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MD",
"license": "D0012471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.