Henry Daniel Zegzula, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD17838 Issued in OR

Practice address

1200 NW Naito Parkway
Suite 310
Portland, OR 97209

Phone

(503) 292-9200

Fax

(503) 292-9205

NPI assigned

Jan 30, 2006

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

Enrolled in OR

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

Specialty

Plastic and Reconstructive Surgery

Education

Saint Louis University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Portland Plastic Surgery Group, LLCGroup PAC ID 3577787514, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Portland Plastic Surgery Group, LLC

  • Plastic Surgery Physician
  • Portland, OR
  • NPI 1437573185
  Medicare reassignment Care Compare group
• The Waldorf Center for Plastic Surgery

  • Health Service Clinic/Center
  • Portland, OR
  • NPI 1689797169
  NPD (past)
• Yale S. Popowich, M.D., P.C.

  • Plastic Surgery Physician
  • Portland, OR
  • NPI 1457638884
  NPD (past)

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

• Legacy Good Samaritan Hospital and Medical Center

  • Clinic/Center
  • Portland, OR
  • NPI 1679597108

  Hospital

  Care Compare affiliation
• Legacy Good Samaritan Hospital and Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1780608216
  Care Compare affiliation

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1811968639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW NAITO PARKWAY",
            "address_2": "SUITE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97209",
            "telephone_number": "503-292-9200",
            "fax_number": "503-292-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW NAITO PARKWAY",
            "address_2": "SUITE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97209",
            "telephone_number": "503-292-9200",
            "fax_number": "503-292-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGZULA",
        "first_name": "HENRY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD17838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064394",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Zebrowski, MD
• Catherine Zecher, LMT
• Cheryl Alice Zechmann, MSW, QMHP
• Ingrid A Zeckser, RN
• Brandon Jan Zegarowski, DDS
• Esme Zehava
• Julie Kay Zehetbauer, PT
• Judy Elizabeth Zehr, LPC
• Karla M Zehren, LCSW
• Aqib Zehri, MD

• Plastic Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Plastic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.