Individual provider Active NPI

Matthew Zamora, PA-C

  • Internal Medicine Physician
  • Bay City, MI
National Provider Identifier
1659883676
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5601008472 Issued in MI
Practice address
4818 S Professional Dr
Bay City, MI 48706
Phone
(989) 686-8100
NPI assigned
Oct 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5601008472 MI Primary

Addresses

Primary practice location

4818 S Professional Dr
Bay City, MI 48706

Mailing address

4818 S Professional Dr
Bay City, MI 48706

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180110003427 MI Practitioner - Physician Assistant 6406115849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Bay RegionGroup PAC ID 5597659011, 110 clinicians
Progress Physical Therapy IncGroup PAC ID 5698669919, 23 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

1900 Columbus Ave
Bay Regional
Bay City, MI 48708-6831
Phone (989) 894-3278

3076 Northridge Rd
Hale, MI 48739-9277
Phone (989) 728-0242

4 Columbus Ave
Suite 380
Bay City, MI 48708-6476
Phone (989) 393-2700

4818 W Professional Dr
Bay City, MI 48706-2844
Phone (989) 686-8100

5979 Lakeshore Rd
Fort Gratiot, MI 48059-2826
Phone (810) 385-6370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601008472MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Bay Region CurrentSince Jun 1, 2022 Accepting new patients
McLaren Medical Group Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
McLaren Bay Region Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
McLaren Medical Group CurrentSince Feb 1, 2018 Accepting new patients
McLaren Medical Group Internal Medicine Past Accepting new patients

Locations

4818 W Professional Dr
Bay City, MI 48706
Phone (989) 345-0204

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

4 Columbus Ave
Ste 380
Bay City, MI 48708
Phone (989) 377-4400

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1659883676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 S PROFESSIONAL DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 S PROFESSIONAL DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-686-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5601008472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.