THOMAS ZAIZ (NPI# 1639223571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639223571 |
| Entity Type | Individual |
| Full Name | THOMAS ZAIZ |
| Credential | PA |
| Practice Address |
4802 S State Route 159 Glen Carbon IL 62034-1904 |
| Practice Telephone | 6182884388 |
| Mailing Telephone | 6182884388 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085001534 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4802 S STATE ROUTE 159 |
| City | GLEN CARBON |
| State | IL |
| Zip Code | 62034-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548245848 | Peter J Anderson | Orthopaedic Surgery | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2005-12-08 |
| 1861672677 | Granite City Orthopedic Physicians Company LLC | Durable Medical Equipment & Medical Supplies | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2007-11-08 |
| 1891811071 | David J Elliff | Physical Therapist | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2007-03-21 |
| 1144346248 | Michelle Vermaux | Physical Therapist | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2007-03-21 |
| 1639295827 | Donna Blood | Occupational Therapist | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2007-03-21 |
| 1366591646 | Scott D Knox | Physician Assistant | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2007-01-09 |
| 1508810920 | Granite City Orthopedic Physicians Company LLC | Clinic/Center | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2006-05-20 |
| 1689633968 | Marie Ann Robison | Specialist/Technologist | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2006-03-23 |
| 1437134731 | Craig A Beyer | Orthopaedic Surgery | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2005-12-08 |
| 1881679181 | Paul J Scherer | Orthopaedic Surgery | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2005-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787795 | Kaleena Galletta | Nurse Practitioner | 4273 S., Il - 159, Glen Carbon, IL 62034 | 2018-04-06 |
| 1871092502 | Andrea Lee Sullivan | Dentist | 3024 South Il-159, Glen Carbon, IL 62034 | 2018-02-08 |
| 1417464918 | Stages Health & Wellness, LLC | Nurse Practitioner | 14 Crabapple Lane, Glen Carbon, IL 62034 | 2018-01-05 |
| 1700300498 | Michael Jay Arnold | Dentist | 3024 Il-159, Glen Carbon, IL 62034 | 2017-08-03 |
| 1679024228 | 360 Body Wellness Inc | Internal Medicine | 3407 Il State Route 157, Glen Carbon, IL 62034 | 2016-10-19 |
| 1346621505 | Stephanie N Lorts | Pediatrics | 4804 South State Route 159, Glen Carbon, IL 62034 | 2015-06-13 |
| 1205110111 | James Allan Staley | Pharmacist | #2 Cottonwood Rd, Glen Carbon, IL 62034 | 2011-10-11 |
| 1215224357 | Angela Eleni Kioultzopoulos | Speech-Language Pathologist | 7a Ginger Creek Village Dr., Glen Carbon, IL 62034 | 2011-07-08 |
| 1922320795 | Meridian Village Association | Skilled Nursing Facility | 27 Auerbach Place, Glen Carbon, IL 62034 | 2010-02-22 |
| 1679728356 | Erin Kathleen Immken | Counselor | 98 Junction Drive West, Suite 6, Glen Carbon, IL 62034 | 2008-11-24 |
| Find all providers in zip 62034 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366591646 | Scott D Knox | Physician Assistant | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
| Find all providers with the same taxonomy | ||||
| City | GLEN CARBON |
| Zip Code | 62034 |
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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.