Individual provider Active NPI

Elizabeth M Zachow, P.A.-C.

  • Physician Assistant
  • Sterling Heights, MI
National Provider Identifier
1952557357
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005341 Issued in MI
Practice address
35735 Mound Rd Ste 100
Sterling Heights, MI 48310-4728
Phone
(586) 261-1960
NPI assigned
Aug 18, 2008
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601005341 MI
Physician Assistant 363A00000X 5601005341 MI Primary

Addresses

Primary practice location

35735 Mound Rd Ste 100
Sterling Heights, MI 48310-4728

Mailing address

35735 Mound Rd Ste 100
Sterling Heights, MI 48310-4728
Phone (586) 261-1960

Other practice location 1

36622 Five Mile Rd Ste 101
Livonia, MI 48154-1900
Phone (734) 542-0200

Other identifiers 2

IdentifierTypeStateIssuer
200E011770OtherMIBCBSM GROUP NUMBER
5601005341OtherMISTATE LICENSE

Other names 1

  • Elizabeth M Cotsonika Former name

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
I20080915000427 MI Practitioner - Physician Assistant 3375619463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mendelson Orthopedics PCGroup PAC ID 8426008368, 69 clinicians

Practice addresses (Care Compare)

35735 Mound Rd
Sterling Heights, MI 48310-4728

36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601005341MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mendelson Orthopedics PC CurrentSince Oct 1, 2010 Accepting new patients
Mendelson Orthopedics PC CurrentSince Oct 1, 2010 Accepting new patients
Ascension Medical Group Michigan Past Accepting new patients
Mendelson Orthopedics PC Past Accepting new patients
Mendelson Orthopedics PC Past Accepting new patients

Locations

14555 Levan Rd
Ste 215
Livonia, MI 48154
Phone (734) 542-0200

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

36622 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 526-1791

35735 Mound Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 261-1960

5107 Rochester Rd
Troy, MI 48085
Phone (248) 723-2477

11900 E 12 Mile Rd
Ste 110
Warren, MI 48093
Phone (586) 261-1960

27472 Schoenherr Rd
Ste 140
Warren, MI 48088
Phone (586) 439-6242

Interoperability endpoints

  • Direct secure messaging: ezachow1158532@direct.hfhs.org
  • Direct secure messaging: ezachow2780254@direct.trinity-health.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1952557357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35735 MOUND RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104728",
            "telephone_number": "586-261-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35735 MOUND RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104728",
            "telephone_number": "586-261-1960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36622 Five Mile Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541900",
            "country_code": "US",
            "telephone_number": "734-542-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACHOW",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601005341",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "200E011770",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5601005341",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "COTSONIKA",
            "middle_name": "M",
            "credential": "P.A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.