Joshua Edward Zetocha, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PAC1005 Issued in ND

Practice address

3000 32ND Ave S
Fargo, ND 58103-6132

Phone

(701) 364-8000

NPI assigned

Jun 2, 2023

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

Medicare fee-for-service enrollment

Enrolled in ND, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Bridges Medical Center

  • Critical Access Hospital
  • Ada, MN
  • NPI 1306836598
  Medicare reassignment NPD
• Bridges Medical Center

  • Rural Health Clinic/Center
  • Ada, MN
  • NPI 1366886186
  Medicare reassignment NPD
• First Care Medical Services

  • Critical Access Hospital Clinic/Center
  • Fosston, MN
  • NPI 1073638565
  Medicare reassignment NPD
• Innovis Health, LLC

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Medicare reassignment
• First Care Medical Services

  • Critical Access Hospital
  • Fosston, MN
  • NPI 1497850119
  Medicare reassignment
• Graceville Health Center

  • Critical Access Hospital
  • Graceville, MN
  • NPI 1982673620
  Medicare reassignment
• St. Marys Regional Health Center

  • Rural Acute Care Hospital
  • Detroit Lakes, MN
  • NPI 1679561088
  Medicare reassignment
• Innovis Health LLC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1144776576
  NPD
• Innovis Health, LLC

  • Multi-Specialty Clinic/Center
  • Bismarck, ND
  • NPI 1053039032
  NPD
• Graceville Health Center

  • Rural Health Clinic/Center
  • Graceville, MN
  • NPI 1013976281
  NPD
• Graceville Health Center

  • Skilled Nursing Facility
  • Graceville, MN
  • NPI 1699744128
  NPD
• St Mary'S Regional Health Center

  • Rural Health Clinic/Center
  • Frazee, MN
  • NPI 1902364482
  NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1083307102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 DEB DR W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784074",
            "telephone_number": "701-793-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036132",
            "telephone_number": "701-364-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETOCHA",
        "first_name": "JOSHUA",
        "middle_name": "EDWARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ND",
            "license": "PAC1005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlena Zeis, RN
• Alanna K Zeller, B.S.
• Maretza Zenon
• Catherine L Zent, MPT
• Jamie Zermeno
• Christine Marie Zettles, APRN,CRNA
• Harrison Zhu, MD
• Gayle Delora Ziegler, RPH
• Rebecca Marie Ziegler, M.D.
• Desiree Zielke, PHD

• Medical Physician Assistant in Fargo, ND
• Providers in Fargo, ND by specialty
• Medical Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.