DR. MICHAEL BARUCH ZACK (NPI# 1457342198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457342198 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BARUCH ZACK |
| Credential | MD |
| Practice Address |
101 Main St Suite 110 Medford MA 02155-4540 |
| Practice Telephone | 7813916318 |
| Practice Fax Number | 7813912709 |
| Mailing Telephone | 7813916318 |
| Mailing Fax Number | 7813912709 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2013-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
33803 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | AETNA | 21767 | 01 |
| MA | RAILROAD MEDICARE | 293909063 | 01 |
| MA | UNITED HEALTH | 4804295 | 01 |
| MA | NETWORK HEALTH | 993560 | 01 |
| MA | NEIGHBORHOOD HEALTH | 0004629 | 01 |
| MA | FALLON | 40321 | 01 |
| MA | 2050765 | 05 | |
| MA | HARVARD PILGRIM | 23012 | 01 |
| MA | TUFTS | 708639 | 01 |
| MA | CIGNA | B10153001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487792834 | Michael S Zack | Psychologist | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2007-02-01 |
| 1760599013 | Michael Brandon Zack | Chiropractor | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2006-08-24 |
| Street Address |
101 MAIN ST SUITE 110 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809411 | Raymond S. Murano | Podiatrist | 101 Main St, Ste 207, Medford, MA 02155-4530 | 2005-05-30 |
| 1063805851 | Diane Coste | Nurse Practitioner | 101 Main St, Suite 110, Medford, MA 02155-4540 | 2015-03-18 |
| 1942543764 | Neelam M. Thacker, M.d. | Clinic/Center | 101 Main St, #210, Medford, MA 02155-4540 | 2013-03-29 |
| 1801134416 | Jason M. Gilbert, M.d.p.c. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2013-01-17 |
| 1275878076 | Nicole Marie Hersel | Nurse Practitioner | 101 Main St, Suite 201, Medford, MA 02155-4540 | 2012-12-05 |
| 1033491766 | H. Gregory Ota, M.d., P.c | Clinic/Center | 101 Main St, Suite 216, Medford, MA 02155-4540 | 2011-09-20 |
| 1679866156 | Anthony Michael Paolucci | Dentist | 101 Main St, #206, Medford, MA 02155-4540 | 2011-05-17 |
| 1235434762 | Karen Ann Quigley | Dentist | 101 Main St, Suite 206, Medford, MA 02155-4540 | 2011-01-13 |
| 1023348935 | Jason M. Gilbert, M.d. P.C. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2009-12-29 |
| 1215164744 | James Andriotakis | Physical Medicine & Rehabilitation | 101 Main St, Suite 101, Medford, MA 02155-4540 | 2009-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1437168010 | George Nunzio Giacoppe Jr. | Internal Medicine | 555 Black Oak Dr Ste 300, Medford, OR 97504-8491 | 2006-08-05 |
| 1346603479 | App Pulmonary Group | Internal Medicine | 555 Black Oak Drive, Suite 300, Medford, OR 97504-8491 | 2016-04-05 |
| 1548638265 | Partners Community Physicians Organization Inc | Internal Medicine | 137 Main St, Medford, MA 02155-4522 | 2015-09-11 |
| 1477857498 | Berta P Baldovino Navarro | Internal Medicine | 555 Black Oak Drive, Suite 300a, Medford, OR 97504 | 2011-01-05 |
| 1285965657 | Philip Fred Michael | Internal Medicine | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2010-01-24 |
| 1437365574 | Michael Zack Md PC | Internal Medicine | 101 Main St, Suite 110, Medford, MA 02155-4540 | 2007-05-15 |
| 1487780714 | John C Ordal | Internal Medicine | 555 Black Oak Dr, Suite 300, Medford, OR 97504-8447 | 2007-02-23 |
| 1922134287 | Dan F Fennell | Internal Medicine | 555 Black Oak Dr, Suite 300, Medford, OR 97504-8447 | 2007-02-23 |
| 1649306929 | Joseph A Schoenhals | Internal Medicine | 555 Black Oak Dr, Suite 300, Medford, OR 97504-8447 | 2007-02-23 |
| 1497840813 | Julian W Bell | Internal Medicine | 1698 E Mcandrews Rd, Suite 400, Medford, OR 97504-5589 | 2006-10-03 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on DR. MICHAEL BARUCH ZACK.
| 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.