John Raymond Zawacki, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601001334 Issued in MI

Practice address

8631 W Vernor Hwy Ste 1a
Detroit, MI 48209-3420

Phone

(313) 889-2000

Fax

(313) 889-3000

NPI assigned

Aug 20, 2009

Last updated

Sep 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medicina Scarlett LLCGroup PAC ID 9830559202, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Medicina Scarlett LLC

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1912602285
  Medicare reassignment Care Compare group NPD
• Medicina Scarlett Express LLC

  • Urgent Care Clinic/Center
  • Detroit, MI
  • NPI 1033069893
  NPD
• Sciometrix LLC

  • General Practice Physician
  • Royal Oak, MI
  • NPI 1619649894
  NPD (past)
• Sciometrix Inc

  • General Practice Physician
  • Staten Island, NY
  • NPI 1457065591
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1831321090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482093420",
            "telephone_number": "313-889-2000",
            "fax_number": "313-889-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W VERNOR HWY STE 1A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482093420",
            "telephone_number": "313-889-2000",
            "fax_number": "313-889-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAWACKI",
        "first_name": "JOHN",
        "middle_name": "RAYMOND",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Frontera Zarek, RN
• Caitlin Zatkoff
• Zatoriah Community Care, LLC
• Juan Rafael Zavala, LLP
• Barbara Zavislak, CRNA
• Jenin Zayad
• Pierre A Zayat, M.D.
• Zcare
• Melissa Daun Zdanowski, N.P.
• Hidaya Zeaiter

• Physician Assistant in Detroit, MI
• Providers in Detroit, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.