Peter Mangone Zies, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

14855 Issued in FL

Practice address

17 East Silver Palm Avenue
Melbourne, FL 32901-3123

Phone

(321) 725-9041

Fax

(321) 722-9248

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023046885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EAST SILVER PALM AVENUE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013123",
            "telephone_number": "321-725-9041",
            "fax_number": "321-722-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EAST SILVER PALM AVENUE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013123",
            "telephone_number": "321-725-9041",
            "fax_number": "321-722-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIES",
        "first_name": "PETER",
        "middle_name": "MANGONE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "14855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "139150553743",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CL1732",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "D55350",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48587",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Zhang
• Yuanyuan Zhao
• Laura Katherine Ziburske, PHARMD
• Casey Daniel Ziegler, APRN
• Jennifer Lynn Ziemke, CCC-SLP
• Natalie Christine Zilli, COTA
• Gary Zimmerman, PHARM. D.
• Maria Zinna
• Deborah Lleras Zipf, M.A. CCC-SLP
• Zipper Surgical Associates, PA

• Dermatology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.