Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Matthew Zuckerman, MD

Individual provider Urology Physician · NPI 1508093428

Dr. Jack Matthew Zuckerman, MD is an Urology in Traverse City, Michigan. Graduated from Wake Forest University School of Medicine in 2009, 17 years ago. Practices with Munson Healthcare Cadillac, a 103-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Michigan, North Carolina and Virginia.

Years since qualifying
17
Trained at
Wake Forest University School of Medicine
Licensed in
CA, MI, NC, VA
In the registry since
2009
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1221 Sixth St Ste 100
Traverse City, MI 49684-2359
Phone: (231) 935-0322
Fax: (231) 935-0334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 34800 Bob Wilson Dr, San Diego, CA 92134-1098 — (619) 532-7200
  • 1011 Sunnyside Dr, Cadillac, MI 49601-8735 — (231) 779-2565
  • 4100 Park Forest Dr, Traverse City, MI 49684-7331 — (231) 392-8900
  • 11848 Rock Landing Dr Ste 402, Newport News, VA 23606 — (757) 873-1347

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 4301503904 (MI)
Urology Physician Taxonomy 208800000X · Licence 2016-02247 (NC)
Urology Physician Taxonomy 208800000X · Licence 0101248101 (VA)
Urology Physician Taxonomy 208800000X · Licence 137309 (CA)

Record details

NPI number1508093428
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2009
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024
Mailing address1221 Sixth St Ste 100, Traverse City, MI 49684-2359

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Munson Healthcare Cadillac — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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