Active NPI
George Lee Zenker, AU.D.
- Audiologist
- Sault Sainte Marie, MI
National Provider Identifier
1821031717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000481
- Practice address
- 545 Ashmun St
Suite 6
Sault Sainte Marie, MI 49783-1936 - Phone
- (906) 259-7150
- Fax
- (906) 259-1501
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000481 | MI | Primary |
Addresses
Primary practice location
545 Ashmun St
Suite 6
Sault Sainte Marie, MI 49783-1936
Mailing address
545 Ashmun St
Suite 6
Sault Sainte Marie, MI 49783-1936
Phone (906) 259-7150
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90182103717 | Other | MI | MEDICAID SUPPLIES |
| 0A70090 | Other | MI | BCBS |
| 80182103717 | Other | MI | MEDICAID SERVICES |
| MI9314 | Other | MI | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071217000460 | MI | Practitioner - Qualified Audiologist | 5890799829 | Practice locations: Sault Sainte Marie, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601000481 | MI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danville Hearing Aid Center, Inc. | Audiologist | Past | Accepting new patients |
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.
-
- Hearing Instrument Specialist
- Danville, VA
- NPI 1356388920
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1821031717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 ASHMUN ST",
"address_2": "SUITE 6",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497831936",
"telephone_number": "906-259-7150",
"fax_number": "906-259-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 ASHMUN ST",
"address_2": "SUITE 6",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497831936",
"telephone_number": "906-259-7150",
"fax_number": "906-259-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENKER",
"first_name": "GEORGE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID SUPPLIES",
"identifier": "90182103717",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0A70090",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID SERVICES",
"identifier": "80182103717",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MI9314",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sault Sainte Marie, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.