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

Thomas Zaiz, PA

Individual provider Surgical Physician Assistant · NPI 1639223571

Thomas Zaiz, PA is a Physician Assistant in Glen Carbon, Illinois. Qualified in 2000, 26 years ago. Practices with Anderson Medical Group LLC, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4804 S State Route 159 Ste 10
Glen Carbon, IL 62034-1904
Phone: (618) 391-5080
Fax: (618) 205-3569
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085001534 (IL)

Record details

NPI number1639223571
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address6810 State Route 162, Box 215, Maryville, IL 62062

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Anderson Medical Group Llc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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