DR. MATTHEW V ZACCHEO (NPI# 1033173257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033173257 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW V ZACCHEO |
| Credential | DO |
| Practice Address |
5900 Byron Center Ave Sw Wyoming MI 49519-9606 |
| Mailing Address |
5900 Byron Center Ave Sw Medical Administration Wyoming MI 49519-9606 |
| Practice Telephone | 6162527200 |
| Mailing Telephone | 6162523243 |
| Mailing Fax Number | 6162520260 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | OS012450 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
5101018545 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNIVERA | 00027186402 | 01 |
| PA | UNISON | 197616 | 01 |
| PA | AETNA | 1427756 | 01 |
| NY | NY MEDICAID | 02833796 | 01 |
| MI | 1033173267 | 05 | |
| MI | 1255304358 | 05 | |
| OH | OH MEDICAID | 2702892 | 01 |
| PA | RR MEDICARE | P00380522 | 01 |
| PA | 1010579960002 | 05 | |
| MI | BCBSM - BMH | 1417961137 | 01 |
| WV | W. VIRGINIA WORKERS COMP | 1071104 | 01 |
| PA | GATEWAY | 1540527 | 01 |
| MI | BCBSM - BMH TAX ID | 1417961137 | 01 |
| PA | UPMC | 410337 | 01 |
| PA | BLUE SHIELD | 1633761 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 John St, Suite M510, Kalamazoo, MI 490075341 | 2693417762 | 2693418098 |
| Street Address |
5900 BYRON CENTER AVE SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-9606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484869 | Anita Irene Charochak | Internal Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2005-06-02 |
| 1912504283 | Jacalyn Kaiser | Occupational Therapist | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-10-08 |
| 1659987196 | David Paul Mandziara | Specialist/Technologist, Other | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2020-09-21 |
| 1265048847 | Bella Baazov | Occupational Therapist | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-09-19 |
| 1548889504 | Maurice Anthony Marshall | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-10 |
| 1619596814 | Tyler Ledy | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2020-04-09 |
| 1427677475 | James Darin Chessrown | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-09 |
| 1285263533 | Matthew Michael Gibbs | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-07 |
| 1427687755 | Molly Magen | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-07 |
| 1316576804 | Lindsay Grace Schichtel | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861773491 | Qasim M Omran | Internal Medicine | 2122 Health Dr Sw, Wyoming, MI 49519 | 2011-09-09 |
| 1013024140 | William Marc Katz | Internal Medicine | 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 | 2006-08-24 |
| 1497716633 | Gregory R Neagos | Internal Medicine | 2122 Health Dr Sw, Wyoming, MI 49519-9698 | 2006-03-29 |
| 1356321996 | Eric C Feucht | Internal Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2006-01-19 |
| 1588642359 | Peter Y Hahn | Internal Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992266563 | Woodhaven Specialists PC | Internal Medicine | 18600 Van Horn Road, Woodhaven, MI 48183-3828 | 2019-03-27 |
| 1023539913 | Yasir M M Farah | Internal Medicine | 37595 7 Mile Rd # 340, Livonia, MI 48152-1003 | 2017-06-29 |
| 1184078792 | Jon Jen Pllc | Internal Medicine | 6704 Country Club Ln, West Bloomfield, MI 48322-3972 | 2016-04-20 |
| 1861797144 | Asadulla Mohammed Md PC | Internal Medicine | 27901 Woodward Ave Ste 220, Berkley, MI 48072-0918 | 2011-01-19 |
| 1346553476 | Raminderjit Sekhon | Internal Medicine | 18181 Oakwood Blvd Ste 208, Dearborn, MI 48124-5031 | 2010-07-19 |
| 1881912517 | Amaraja Kanitkar | Internal Medicine | 3175 W. Professinal Drive, Mclaren Bay Pulmonology, Bay City, MI 48706 | 2010-05-05 |
| 1467682443 | Mihai Iliesiu | Internal Medicine | 27483 Dequindre Rd Ste 210, Madison Heights, MI 48071-5711 | 2009-07-23 |
| 1578710232 | Albert Naveed | Internal Medicine | 3950 Hollywood Rd Ste 280, Saint Joseph, MI 49085-9151 | 2008-08-25 |
| 1669636718 | Anthony Iacco | Internal Medicine | 22987 W 13 Mile Rd, Beverly Hills, MI 48025-4447 | 2008-07-17 |
| 1750545828 | Mohd Shaffi Kanjwal | Internal Medicine | 1015 S Washington Ave Ste D, Saginaw, MI 48601-2556 | 2008-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.