Provider Demographics
NPI:1891823365
Name:MORRIS, ZACHARY Q (MD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:Q
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HENRY FORD HEALTH SYSTEM
Mailing Address - Street 2:3500 FIFTEEN MILE ROAD
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310
Mailing Address - Country:US
Mailing Address - Phone:586-268-8980
Mailing Address - Fax:586-268-8158
Practice Address - Street 1:HENRY FORD HEALTH SYSTEM
Practice Address - Street 2:3500 FIFTEEN MILE ROAD
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310
Practice Address - Country:US
Practice Address - Phone:586-268-8980
Practice Address - Fax:586-268-8158
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301044173207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
290H264420OtherBLUE CROSS-BLUE CROSS
MIH26442-025OtherMEDICARE PART B
MI413395410Medicaid
ZM044173OtherCOMMERCIAL-COMMERCIAL NUMBER
ZM044173OtherCHAMPUS-CHAMPUS
290H264420OtherBLUE CROSS-BLUE CROSS