Mario Zapata, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

20020086 Issued in NC

Legal business name

MARIO ZAPATA, M.D., P.C.

Practice address

515 Brookdale Dr
Statesville, NC 28677-4107

Phone

(704) 883-8762

Fax

(704) 883-8661

NPI assigned

Dec 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mario G Zapata, M.D.NPI 1992856033

Title

Owner

Phone

(704) 883-8762

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario Guillermo Zapata, M.D.

  • Psychiatry Physician
  • Statesville, NC
  • NPI 1992856033
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1063658110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774107",
            "telephone_number": "704-883-8762",
            "fax_number": "704-883-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774107",
            "telephone_number": "704-883-8762",
            "fax_number": "704-883-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO ZAPATA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "ZAPATA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-883-8762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "20020086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900106",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mamassist Management, Inc
• Tracy Mangum
• Manifest Family Services
• Christina Marie Mann, PHD, CRC, NCC, BCBA
• Joseph Stephen Manser III, M.A.
• Brandon Terrell Marion, MD
• Mark B Williamson, MD PA
• Fred Marks, M.D.
• Mary Maikranz Marks, NP
• Larry N Marlin

• Specialist in Statesville, NC
• Providers in Statesville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.