AVERY ZIERK MD - NPI 1548766595 - Pediatrics in Providence, RI

Q: What is Avery Zierk's NPI number?

The NPI number for Avery Zierk is 1548766595. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Q: What is Avery Zierk's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Avery Zierk was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Avery Zierk Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERY ZIERK MD (NPI 1548766595) is an individual neonatal-perinatal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD19798) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1548766595

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameAVERY ZIERKCredential: MD

Location Address101 PLAIN ST FL 6Providence, RI 02903-4829

Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919

Phone(401) 274-1122

Fax(401) 453-7571

Sole ProprietorNo

Enumeration DateMarch 30, 2018

Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1548766595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in RI · MD19798

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

101 PLAIN ST FL 6, Providence, RI 02903

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Secondary Practice Locations 3

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 955-6070

Location 2455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546

Location 3101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1122 · Fax (401) 453-7571

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avery Zierk Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHRISTINA STANG LICSW

Social Worker (Clinical)