J. MICHAEL ZINZILIETA (NPI# 1366539165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366539165 |
| Entity Type | Individual |
| Full Name | J. MICHAEL ZINZILIETA |
| Other Name | JOHN M. ZINZILIETA |
| Credential | M.D. |
| Practice Address |
900 N. 1st Street Springfield IL 62702-3749 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
| Practice Telephone | 2175287541 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036-059290 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036059290 | 05 |
| Street Address |
900 N. 1ST STREET |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-3749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164410163 | David C. Chapman | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2005-10-12 |
| 1437423613 | Brooke Y. Trickey | Nurse Practitioner | 900 N. 1st Street, Springfield, IL 62702-3749 | 2012-03-06 |
| 1699049874 | Ginger P. Boehler | Nurse Practitioner | 900 N. 1st Street, Springfield, IL 62702-3749 | 2012-03-06 |
| 1316254287 | Stacy Ann Roher | Registered Nurse | 900 N. 1st Street, Springfield, IL 62702-3749 | 2010-09-13 |
| 1821309790 | Alison Christine Rinaberger | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2010-06-25 |
| 1962638130 | Amanda L. Shull | Physician Assistant | 900 N. 1st Street, Springfield, IL 62702-3749 | 2009-06-02 |
| 1639395114 | Amit Kumar Gupta | Internal Medicine | 900 N. 1st Street, Springfield, IL 62702-3749 | 2007-04-17 |
| 1063535029 | Lucinda A Hany | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2007-04-06 |
| 1558458349 | John D. Zander | Colon & Rectal Surgery | 900 N. 1st Street, Springfield, IL 62702-3749 | 2006-10-05 |
| 1710073382 | Ernest E Ertmoed | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134578628 | Lauren L.o. Diskin | Obstetrics & Gynecology | 2135 S Fremont Ave Ste 200, Springfield, MO 65804-2239 | 2016-06-06 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1821433368 | Jeffrey Alan Davis | Obstetrics & Gynecology | 522 Northcrest Drive, Northcrest Center for Women's Health, Springfield, TN 37172 | 2013-05-09 |
| 1134473457 | New Beginnings, Ob/gyn, LLC | Obstetrics & Gynecology | 193 Mountain Ave, Springfield, NJ 07081-1755 | 2012-11-08 |
| 1104196641 | Henry Olugbenga Adekola | Obstetrics & Gynecology | 415 N 9th St # 6w30, Springfield, IL 62702-5303 | 2011-12-30 |
| 1043506801 | Megan Christine Rooney Thompson | Obstetrics & Gynecology | 3850 S National Ave Ste 400, Springfield, MO 65807-5287 | 2011-06-21 |
| 1891008074 | Shanon M. Tuter | Obstetrics & Gynecology | 3231 S National Ave Ste 250, Springfield, MO 65807-7304 | 2010-07-16 |
| 1730415407 | Carl Lance De Fronzo | Obstetrics & Gynecology | 216 Short Hills Ave, Springfield, NJ 07081-1010 | 2009-10-30 |
| 1083887582 | Myron Seymour Soled | Obstetrics & Gynecology | 71 Tree Top Drive, Springfield, NJ 07081 | 2008-04-07 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.