Provider Type Icon

IRA ZACHARY DYME MD NPI 1043381288


NPI Information

NPI: 1043381288
Provider Name: IRA ZACHARY DYME MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
2909 E GRAND RIV
SUITE 108
LANSING, MI
ZIP 48912
Phone: (517) 482-1111
Get Directions

IRA ZACHARY DYME MD is a neurology with special qualifications in child neurology psychiatry neurology in Lansing, MI. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. IRA ZACHARY DYME MD NPI is 1043381288. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2909 E GRAND RIV
SUITE 108
LANSING, MI
ZIP 48912-300
Phone: (517) 482-1111
Fax: (517) 482-1119

The provider's authorized official is Ira Zachary Dyme .
The authorized official title is Owner and has the following contact phone number (517) 482-1111.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 7/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology4301046743MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101559420MEDICAIDMICHIGAN
23503311161OTHERMICHIGANBCBS OF MICHIGAN
30N91910MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.