Loriann Zettell, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301056520 Issued in MI

Practice address

13697 15 Mile Rd
Marshall, MI 49068-8533

Phone

(269) 789-4905

Fax

(269) 789-7955

NPI assigned

May 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2019 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Brain Treatment Center- Marshall PLLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Marshall, MI
  • NPI 1942032628
  NPD
• Inside Out Brain Clinic, PLLC

  • Health Service Clinic/Center
  • Marshall, MI
  • NPI 1932944675
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1649447707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13697 15 MILE RD",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490688533",
            "telephone_number": "269-789-4905",
            "fax_number": "269-789-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13697 15 MILE RD",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490688533",
            "telephone_number": "269-789-4905",
            "fax_number": "269-789-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETTELL",
        "first_name": "LORIANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301056520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700A376690",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xyz PLLC
• Dakota James Yeaster, PA-C
• Joseph Lee Young, R.PH
• Kathryn Young, MD
• Emily Zaremski
• Jennifer Anne Zindler

• Obstetrics & Gynecology Physician in Marshall, MI
• Providers in Marshall, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.