Basic Information
| Provider Information | |||||||||
| NPI: | 1043273352 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZART | ||||||||
| FirstName: | JANIE | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 781389 | ||||||||
| Address2: | |||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482784328 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4409184630 | ||||||||
| FaxNumber: | 4409184632 | ||||||||
| Practice Location | |||||||||
| Address1: | 4176 STATE ROUTE 306 | ||||||||
| Address2: | |||||||||
| City: | WILLOUGHBY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440949203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4409184630 | ||||||||
| FaxNumber: | 4409184610 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2006 | ||||||||
| LastUpdateDate: | 02/26/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 35-066192 | OH | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 0370448 | 05 | OH | MEDICAID |