Krzysztof Hendryk Ziola, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M-10666 Issued in ID

Practice address

2280 American Legion Blvd.
Mountain Home, ID 83647

Phone

(208) 587-3988

Fax

(208) 587-3324

NPI assigned

Nov 2, 2006

Last updated

Dec 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Christopher H Ziola Former name

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16522/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glenns Ferry Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Glenns Ferry, ID
  • NPI 1376673137
  Medicare reassignment NPD
• Glenns Ferry Health Center, Inc.

  dba Desert Sage Health Centers

  • Federally Qualified Health Center (FQHC)
  • Mountain Home, ID
  • NPI 1518097047
  NPD
• Glenns Ferry Health Center, Inc.

  dba Desert Sage Health Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mountain Home, ID
  • NPI 1881252344
  NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1073692166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 AMERICAN LEGION BLVD.",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "83647",
            "telephone_number": "208-587-3988",
            "fax_number": "208-587-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 AMERICAN LEGION BLVD.",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "83647",
            "telephone_number": "208-587-3988",
            "fax_number": "208-587-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIOLA",
        "first_name": "KRZYSZTOF",
        "middle_name": "HENDRYK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A62465",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-10666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "ZIOLA",
            "middle_name": "H",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juliann Covington Willardson, DMD
• Andrea Rena Wood, LPC
• Amber Woolley, IDMT
• Maureen Wray, M.A., CCC-SLP
• Alexandra Yewcic, LPC

• Internal Medicine Physician in Mountain Home, ID
• Providers in Mountain Home, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.