Zylstra Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ZYLSTRA MEDICAL SUPPLY, INC

Doing business as

Zylstra Medical Supply

Practice address

1998 44TH St SE
Kentwood, MI 49508-5049

Phone

(616) 827-9290

NPI assigned

Apr 1, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Brian F Zylstra

Title

President

Phone

(616) 827-9290

Specialties & licenses 1

Addresses

Other names 1

• Zylstra Medical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1619266491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 44TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085049",
            "telephone_number": "616-827-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 44TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085049",
            "telephone_number": "616-827-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZYLSTRA MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "ZYLSTRA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-827-9290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zylstra Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sadee Zeller
• Star L. Zetocha, LLPC
• Grace Zimmer
• John Michael Zona, DDS
• Steven John Zwart, LMSW

• Durable Medical Equipment & Medical Supplies in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.