Organization Active NPI

Warren M. Zeitlin, MDPC

  • Specialist
  • Sedona, AZ
National Provider Identifier
1043490428
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20208 Issued in AZ
Legal business name
WARREN M. ZEITLIN, MDPC
Practice address
95 Soldiers Pass Rd Ste B1
Sedona, AZ 86336-4781
Phone
(928) 282-5865
Fax
(928) 592-9113
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Dr. Warren M Zeitlin, M.D.P.C.
Title
Doctor
Phone
(928) 592-9414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 20208 AZ Primary

Addresses

Primary practice location

95 Soldiers Pass Rd Ste B1
Sedona, AZ 86336-4781

Mailing address

95 Soldiers Pass Rd Ste C2
Sedona, AZ 86336-4781
Phone (928) 282-5865

Other identifiers 1

IdentifierTypeStateIssuer
008525MedicaidAZ

Other names 1

  • Sedona Cardiology Center Doing business as

National Provider Directory

National Provider Directory

Locations

95 Soldiers Pass Rd
Ste C2
Sedona, AZ 86336
Phone (928) 282-5865

210 Sunset Dr
Ste C
Sedona, AZ 86336
Phone (928) 282-5865

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1043490428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SOLDIERS PASS RD STE C2",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364781",
            "telephone_number": "928-282-5865",
            "fax_number": "928-592-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SOLDIERS PASS RD STE B1",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364781",
            "telephone_number": "928-282-5865",
            "fax_number": "928-592-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN M. ZEITLIN, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "ZEITLIN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "928-592-9414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.P.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "20208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008525",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sedona Cardiology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.