| Jonathan Thomas Zaidan, MD | |
|
1428 S Lapeer Rd, Lake Orion, MI 48360-1437 | |
| (248) 693-0543 | |
| (248) 630-4301 |
| Full Name | Jonathan Thomas Zaidan |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 32 Years |
| Location | 1428 S Lapeer Rd, Lake Orion, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619905387 | NPI | - | NPPES |
| 1568653780 | Other | MI | GROUP NPI |
| 1619905387 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301069018 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Oakland | Pontiac, MI | Hospital |
| Ascension Providence - Crittenton Hospital Medical Center | Rochester, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Women's Healthcare Associates Of Oakland Pllc | 1254355878 | 7 |
| Endometriosis Treatment Center Of America - Michigan Pllc | 3678982329 | 2 |
| Entity Name | Women's Healthcare Associates Of Oakland Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568653780 PECOS PAC ID: 1254355878 Enrollment ID: O20060123000600 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Entity Name | Endometriosis Treatment Center Of America - Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720669880 PECOS PAC ID: 3678982329 Enrollment ID: O20210510000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Thomas Zaidan, MD Po Box 2137, Birmingham, MI 48012-2137 Ph: (248) 872-7786 | Jonathan Thomas Zaidan, MD 1428 S Lapeer Rd, Lake Orion, MI 48360-1437 Ph: (248) 693-0543 |
Andrea Hartford, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1428 S Lapeer Rd, Lake Orion, MI 48360 Phone: 248-845-4237 Fax: 248-693-3683 | |
Dr. Tanya Renee Wynn, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1428 S Lapeer Rd, Lake Orion, MI 48360 Phone: 248-693-0543 | |
Michael Engel, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1428 S Lapeer Rd, Lake Orion, MI 48360 Phone: 248-693-0543 Fax: 248-693-3683 | |
Ginger Connor, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1428 S Lapeer Rd, Lake Orion, MI 48360 Phone: 248-693-0543 Fax: 248-630-4301 | |
Dr. Myah Elisabeth Bell, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1428 S Lapeer Rd, Lake Orion, MI 48360 Phone: 248-693-0543 Fax: 248-693-3683 | |
Dr. Diana Lynn Cohen, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 46 W Shadbolt St, Lake Orion, MI 48362 Phone: 248-814-9300 Fax: 248-814-9304 |