Provider Demographics
NPI:1184280398
Name:ZEILENGA, CHASE MICHAEL (DO)
Entity type:Individual
Prefix:
First Name:CHASE
Middle Name:MICHAEL
Last Name:ZEILENGA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 NE SAINT LUKES BLVD STE 530
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-6075
Mailing Address - Country:US
Mailing Address - Phone:816-554-3838
Mailing Address - Fax:
Practice Address - Street 1:110 NE SAINT LUKES BLVD STE 530
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-6075
Practice Address - Country:US
Practice Address - Phone:816-554-3838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MI5101026437207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program