Mark J Ziadeh, MD

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

License

4301059318 Issued in MI

Practice address

23332 Farmington Road
#1120
Farmington Hills, MI 48332

Phone

(248) 478-5645

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 48)

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.

• Ability Medical Group PLLC

  • Electrodiagnostic Medicine Physician
  • Farmington Hills, MI
  • NPI 1801323506
  Medicare reassignment Authorized official
• Michigan Sports and Spine Center PC

  • Physical Medicine & Rehabilitation Physician
  • Livonia, MI
  • NPI 1205887262
  Medicare reassignment NPD
• Total Extended Care Services PC

  • Physical Medicine & Rehabilitation Physician
  • Englewood, OH
  • NPI 1699522029

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1649352543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483321120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23332 FARMINGTON ROAD",
            "address_2": "#1120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48332",
            "telephone_number": "248-478-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIADEH",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301059318",
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "MI",
            "license": "4301059318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4472761",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Zhang
• Ting Zheng
• Yuhang Zhong
• Brittany Zhou
• Kevin Yue Zhu, MD
• Brooke Zielke
• Elizabeth Zienert
• Carol Diane Ziesmer
• Rocio Zigala Tello
• Brianna J Zigler

• Electrodiagnostic Medicine Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Electrodiagnostic Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.