Individual provider Active NPI

Abby Elsaidi Zamenski, PA-C

  • Medical Physician Assistant
  • Novi, MI
National Provider Identifier
1932476736
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601006242 Issued in MI
Practice address
26179 Novi Rd
Novi, MI 48375-1140
Phone
(248) 912-1919
NPI assigned
Nov 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601006242 MI Primary

Addresses

Primary practice location

26179 Novi Rd
Novi, MI 48375-1140

Mailing address

26179 Novi Rd
Novi, MI 48375-1140
Phone (248) 912-1919

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120329000140 MI Practitioner - Physician Assistant 0749440741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601006242MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Medical Group PLLC CurrentSince Nov 1, 2014 Accepting new patients
Envision Medical Group PLLC Physician Assistant CurrentSince Nov 1, 2014 Accepting new patients
Personal Care Physician PLLC Past Accepting new patients

Locations

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

620 N Pontiac Trl
Walled Lake, MI 48390
Phone (248) 624-4511

Interoperability endpoints

  • Direct secure messaging: abby.zamenski.1@9875.direct.athenahealth.com

Organizations & group practices 3

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": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1932476736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26179 NOVI RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751140",
            "telephone_number": "248-912-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26179 NOVI RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751140",
            "telephone_number": "248-912-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMENSKI",
        "first_name": "ABBY",
        "middle_name": "ELSAIDI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.