John J Zmiejko, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301042415 Issued in MI

Practice address

4154 River Rd
Suite 1
East China, MI 48054-2925

Phone

(810) 329-6710

Fax

(810) 329-8790

NPI assigned

Feb 27, 2006

Last updated

Apr 8, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11357/brand/3/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physician Healthcare Network, PC

  • Urgent Care Clinic/Center
  • Marysville, MI
  • NPI 1093921074
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1689640831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 COMMERCE DR",
            "address_2": "SUITE B",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593819",
            "telephone_number": "810-385-4441",
            "fax_number": "810-385-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 RIVER RD",
            "address_2": "SUITE 1",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542925",
            "telephone_number": "810-329-6710",
            "fax_number": "810-329-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZMIEJKO",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301042415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689640831",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trisha Vore
• Thomas Gordon Wayne, MD
• Willow Tree Counseling Services, Inc.
• Jessica Lynn Young, PA-C
• Cory D Zieger, MD

• Pediatrics Physician in East China, MI
• Providers in East China, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.