MEDICARE: DR. JERRY E ZAYID DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	5901001059	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	O-EO-2656-O	OTHER	MI	BLUE CROSS SUPPLIER PIN
2	0D41146	OTHER	MI	BLUE CROSS
3	OEO3185	OTHER	MI	BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	OEO2782	OTHER	MI	BLUE CROSS
6	5501440	OTHER	MI	BLUE CROSS
7	OH71150	OTHER	MI	BLUE CROSS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871545020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JERRY E ZAYID DPM

Provider Business Mailing Address
First Line	:	2559 UNION LAKE RD
Second Line	:
City	:	COMMERCE TWP
State	:	MI
Zip	:	48382-3555
Country	:	US
Telephone Number	:	248-245-3392
Fax Number	:	248-363-8652

Provider Business Practice Location Address
First Line	:	2559 UNION LAKE RD
Second Line	:
City	:	COMMERCE TWP
State	:	MI
Zip	:	48382-3555
Country	:	US
Telephone Number	:	248-245-3392
Fax Number	:	248-363-8652

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	10/03/2014

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Directions to “ DR. JERRY E ZAYID DPM” Practice Location

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