Individual provider Active NPI

Laura Erman Zelenak, DO

  • Family Medicine Physician
  • Imlay City, MI
National Provider Identifier
1730197724
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101014679 Issued in MI
Practice address
6672 Newark Rd
Imlay City, MI 48444-9657
Phone
(810) 724-0591
Fax
(810) 724-0272
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101014679 MI Primary

Addresses

Primary practice location

6672 Newark Rd
Imlay City, MI 48444-9657

Mailing address

6672 Newark Rd
Imlay City, MI 48444-9657
Phone (810) 724-0591

Other identifiers 1

IdentifierTypeStateIssuer
4602623MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070327000249 MI Practitioner - Family PracticePractitioner - General PracticePractitioner - Osteopathic Manipulative Medicine 1759485089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Osteopathic Manipulative Medicine
Education
Michigan State University College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Laura Zelenak, D.O., P.C.Group PAC ID 1850442864, 5 clinicians

Practice addresses (Care Compare)

6672 Newark Rd
Imlay City, MI 48444-9657
Phone (810) 724-0591

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101014679MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Zelenak, D.O., P.C. Family Medicine CurrentSince May 10, 2009 Accepting new patients

Locations

6672 Newark Rd
Imlay City, MI 48444
Phone (810) 614-6482

Interoperability endpoints

  • Direct secure messaging: laura-zelenak@imlaycfp.e-mdsdirect.com
  • Direct secure messaging: admin@imlaycfp.e-mdsdirect.com
  • FHIR API: https://api.platform.athenahealth.com/13481/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.zelenak.1@13481.direct.athenahealth.com

Organizations & group practices 1

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1730197724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6672 NEWARK RD",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449657",
            "telephone_number": "810-724-0591",
            "fax_number": "810-724-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6672 NEWARK RD",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449657",
            "telephone_number": "810-724-0591",
            "fax_number": "810-724-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELENAK",
        "first_name": "LAURA",
        "middle_name": "ERMAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4602623",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Imlay City, MI

Sources for this page

Verify at the official NPI Registry.