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

Jason Zatkoff, DO

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1164840930

Jason Zatkoff, DO is an Anesthesiology in Warren, Michigan. Qualified in 2014, 12 years ago. Practices with Long Lake Anesthesiology Consultants PLC, a 92-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11012 E 13 Mile Rd Ste 112A
Warren, MI 48093-2546
Phone: (586) 751-9800
Show map & directions

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

Additional practice locations (2)

  • 44405 Woodward Ave, Pontiac, MI 48341-5023 — (248) 585-3023
  • 22401 Foster Winter Dr, Southfield, MI 48075-3724 — (248) 423-5198

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 5101025124 (MI)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 5101025124 (MI)

Record details

NPI number1164840930
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2014
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address1507 Cole St, Birmingham, MI 48009-7063

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Also practisesPAIN MANAGEMENT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Long Lake Anesthesiology Consultants Plc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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