Zachary Scott Peterson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2230 Moorwood Dr
Holt, MI 48842-8711

Phone

(517) 281-6610

NPI assigned

Jun 18, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sparrow Eaton HospitalGroup PAC ID 0042103509, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Sparrow Eaton Hospital

  • Orthopaedic Surgery Physician
  • Charlotte, MI
  • NPI 1043419427
  Medicare reassignment Care Compare group
• Sparrow Eaton Hospital

  • School Nurse Practitioner
  • East Lansing, MI
  • NPI 1063227486
  NPD

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

• Sparrow Eaton Hospital

  • Orthopaedic Surgery Physician
  • Charlotte, MI
  • NPI 1043419427

  Hospital

  Care Compare affiliation
• Sparrow Eaton Hospital

  • Ambulance
  • Charlotte, MI
  • NPI 1093742249

  Hospital

  Care Compare affiliation
• Sparrow Eaton Hospital

  • Critical Access Hospital
  • Charlotte, MI
  • NPI 1942254529
  Care Compare affiliation

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1659940344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 MOORWOOD DR",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488428711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 MOORWOOD DR",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488428711",
            "telephone_number": "517-281-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ZACHARY",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Thompson DO PLLC
• Darshil Patel, PT
• Amanda Paulson, LMSW, MHP, CMHP
• Peace of Mind Counseling, Consulting, and Supervision LLC
• Sharon Ann Peek, LPC
• Madison Phillipich, LLMSW
• Steven Pingston, AT
• Katherine Potter
• Jennifer Elizabeth Powers, DPT
• Yolanda Lee Prater

• Physician Assistant in Holt, MI
• Providers in Holt, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.
• 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.