Marissa May Zajac, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

R9898 Issued in TX

Practice address

5521 Bellaire Dr S Ste 114B
Fort Worth, TX 76109-5855

Phone

(817) 926-9642

Fax

(817) 926-1865

NPI assigned

Jun 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, FL2 enrollments

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 2

Specialty

Osteopathic Manipulative Medicine

Education

University of North Texas HSC, College of Osteopathic Med, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Ballout International PLLCGroup PAC ID 5890045256, 48 clinicians

University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marissa.zajac.1@27660.direct.athenahealth.com

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.

• University of Texas Health Science Center at San Antonio

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720051717
  Medicare reassignment Care Compare group NPD
• Ballout International PLLC

  • Internal Medicine Physician
  • Vero Beach, FL
  • NPI 1629554225

  Neuromusculoskeletal Medicine & Omm

  Medicare reassignment Care Compare group NPD
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1053784660
  Medicare reassignment Care Compare group
• The University of Texas Health Science Center at San Antonio

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1326829904
  NPD
• TMC Provider Group, PLLC

  • Urgent Care Clinic/Center
  • Vidor, TX
  • NPI 1033828058
  NPD
• The Wellness Center Health and Therapy LLC

  • Family Medicine Physician
  • Ft Worth, TX
  • NPI 1174053755
  NPD (past)

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1710367446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 BELLAIRE DR S STE 114B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095855",
            "telephone_number": "817-926-9642",
            "fax_number": "817-926-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 BELLAIRE DR S STE 114B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095855",
            "telephone_number": "817-926-9642",
            "fax_number": "817-926-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJAC",
        "first_name": "MARISSA",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WV",
            "license": "ED",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": "R9898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanbira Zahir, DPT, PT
• Sydney Zahorik
• Nabila S Zaidi, MD
• Samana Zaidi, M.D.
• Joy L Zajac, PNP
• Taylor Kraus Zak, MD
• Kerolos Zaklama
• Justyna Izabela Zakrzewska-King
• Katherine Khen Zama Mbuh, FNP
• Rosaline Zama

• Neuromusculoskeletal Medicine & OMM Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.