MARK ZACHARY MD (NPI# 1306818158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306818158 |
| Entity Type | Organization |
| Organization Name | MARK ZACHARY MD |
| Practice Address |
18275 N 59th Ave Bldg M 176 Glendale AZ 85308-1260 |
| Mailing Address |
18275 N 59th Ave Bldg M 176 Glendale AZ 85308 |
| Practice Telephone | 6028432866 |
| Practice Fax Number | 6029381491 |
| Mailing Telephone | 6028432866 |
| Mailing Fax Number | 6029381491 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2007-12-07 |
| Authorized Official Name | MARK ZACHARY (ORTHOPEDIC SURGEON) |
| Authorized Official Telephone | 6028432866 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
12879 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 224204 | 05 | |
| HEALTHNET | 1Z3860 | 01 | |
| CIGNA | 4207700 | 01 | |
| UNITED HEALTHCARE | 34326 | 01 | |
| BLUE CROSS BLUE SHIELD | AZ0004670 | 01 |
| Street Address |
18275 N 59TH AVE BLDG M 176 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-1260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809072 | Heidi Erpelding | Physical Therapist | 18275 N 59th Ave, Bldg K-164, Glendale, AZ 85308-1260 | 2005-05-23 |
| 1447798590 | Elizabeth Sam | Nurse Practitioner | 18275 N 59th Ave, #138, Glendale, AZ 85308-1260 | 2017-02-09 |
| 1750735114 | Natasha Guha | Registered Nurse | 18275 N 59th Ave, Suite 138, Glendale, AZ 85308-1260 | 2016-04-21 |
| 1205291606 | Isaac Lavant Dds Pllc | Dentist | 18275 N 59th Ave, 128, Glendale, AZ 85308-1260 | 2015-12-30 |
| 1780062133 | Cervical Spine Centers, Pllc | Orthopaedic Surgery | 18275 N 59th Ave, Building H, Suite 146, Glendale, AZ 85308-1260 | 2015-05-18 |
| 1225416456 | Physician Skin Solutions | Dermatology | 18275 N 59th Ave, Suite C-116, Glendale, AZ 85308-1260 | 2015-05-07 |
| 1023420296 | Julia Campbell | Contractor | 18275 N 59th Ave, Bldg L, Ste. 170, Glendale, AZ 85308-1260 | 2014-05-22 |
| 1538507348 | Stephanie J Mower | Dentist | 18275 N 59th Ave, Bldg D-120, Glendale, AZ 85308-1260 | 2013-06-13 |
| 1669730628 | Srivani Srikantiah, M.d. Pllc | Internal Medicine | 18275 N 59th Ave, Suite 138, Glendale, AZ 85308-1260 | 2012-04-27 |
| 1477843613 | Donald L. Wilcox D.d.s. P.C. | Dentist | 18275 N 59th Ave, Suite 114, Building C, Glendale, AZ 85308-1260 | 2011-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1760624449 | Queens Neurorehabilitation, PC | Clinic/Center | 8727 Myrtle Ave, Glendale, NY 11385-7847 | 2009-03-27 |
| 1154562379 | Serenity Sleep Laboratories Inc | Clinic/Center | 1141 N Brand Blvd Ste 201, Suite 201, Glendale, CA 91202-3647 | 2009-03-18 |
| 1245442433 | Gastroenterology Associates of Southern California | Clinic/Center | 222w. Eulalia St., Suite 301, Glendale, CA 91204 | 2007-05-03 |
| 1073666269 | Dimitrios P Bousounis Md | Clinic/Center | 200 W Silver Spring Dr Ste 255, Glendale, WI 53217-5058 | 2007-01-19 |
| 1588270730 | Pediatric Sedation of Arizona | Clinic/Center | 20100 N 51st Ave Ste B220, Glendale, AZ 85308-5145 | 2020-09-22 |
| 1184237877 | Sudeep Punia Md PC | Clinic/Center | 7330 N 99th Ave Ste 205, Glendale, AZ 85307-3018 | 2020-08-24 |
| 1699289660 | Alexander G Gevorgyan Md Inc | Clinic/Center | 1332 S Glendale Ave, Glendale, CA 91205-3349 | 2017-11-28 |
| 1396266870 | Teni Minaeian Chiropractic Inc | Clinic/Center | 1451 E Chevy Chase Dr Ste 201, Glendale, CA 91206-4056 | 2017-07-05 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.