Individual provider Active NPI

Andrew Michael Zwyghuizen, M.D.

  • Plastic Surgery Physician
  • Ann Arbor, MI
National Provider Identifier
1861514002
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301084267 Issued in MI
Practice address
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
Phone
(734) 998-6022
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 4301084267 MI
Plastic Surgery Physician 208200000X 4301084267 MI Primary

Addresses

Primary practice location

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

4660 S Hagadorn Rd
Suite 600
East Lansing, MI 48823-5376
Phone (517) 267-2460

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
I20100702000401 MI Practitioner - Plastic and Reconstructive Surgery 8921139122 Reassigns benefits to 7 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association Current Accepting new patients
Sparrow Clinton Hospital CurrentSince Aug 1, 2022 Accepting new patients
Edward W. Sparrow Hospital Association Plastic Surgery CurrentSince Aug 1, 2022 Accepting new patients
Zwyghuizen Plastic Surgery PC Plastic Surgery CurrentSince Mar 1, 2026 Accepting new patients
Regents of the University of Michigan Plastic Surgery Current Accepting new patients
Sparrow Clinton Hospital Current Accepting new patients
Michigan State University CurrentSince Jul 1, 2010 Accepting new patients
Michigan State University CurrentSince Jul 1, 2010 Accepting new patients
Michigan State University Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Aug 1, 2022 Accepting new patients
Regents of the University of Michigan Current Accepting new patients
Sparrow Clinton Hospital Plastic Surgery CurrentSince Aug 1, 2022 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2098 S Main St
Ann Arbor, MI 48103
Phone (734) 936-5780

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

4660 S Hagadorn Rd
Ste 600
East Lansing, MI 48823
Phone (517) 267-2460

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180

3965 Okemos Rd
Ste A2
Okemos, MI 48864
Phone (517) 239-1499

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

805 S Oakland St
Fl 3
Saint Johns, MI 48879
Phone (989) 227-3345

901 S Oakland St
Saint Johns, MI 48879
Phone (517) 227-2338

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1861514002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-998-6022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 S Hagadorn Rd",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488235376",
            "country_code": "US",
            "telephone_number": "517-267-2460",
            "fax_number": "517-884-8602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZWYGHUIZEN",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301084267",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301084267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.