Individual provider Active NPI

Mark Zande, MD

  • Cardiovascular Disease Physician
  • Jackson, MI
National Provider Identifier
1639146681
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301048612 Issued in MI
Practice address
309 Page Ave Ste 203
Jackson, MI 49201-2419
Phone
(517) 205-1234
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301048612 MI Primary

Addresses

Primary practice location

309 Page Ave Ste 203
Jackson, MI 49201-2419

Mailing address

309 Page Ave
Jackson, MI 49201-2419
Phone (517) 205-1234

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mzande451582@directhfhs.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040212000484 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3678485224 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
W. a. Foote Memorial Hospital, Inc Internal Medicine Current Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jul 1, 2017 Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Services Organization Cardiovascular Disease CurrentSince Jun 15, 2014 Accepting new patients
Iha Health Service Corporation CurrentSince Jun 15, 2014 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

309 Page Ave
Ste 203
Jackson, MI 49201
Phone (517) 205-1234

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

309 Page Ave
Jackson, MI 49201
Phone (517) 205-1234

300 W Washington Ave
Ste 350
Jackson, MI 49201
Phone (517) 788-9677

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5325 Elliott Dr
Ste 203
Ypsilanti, MI 48197
Phone (734) 712-8020

5325 Elliott Dr
Ypsilanti, MI 48197

Interoperability endpoints

  • Direct secure messaging: mzande451582@direct.hfhs.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1639146681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PAGE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012419",
            "telephone_number": "517-205-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PAGE AVE STE 203",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012419",
            "telephone_number": "517-205-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDE",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301048612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mzande451582@directhfhs.org",
            "affiliation": "N",
            "address_1": "309 Page Ave Ste 203",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492012419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.