Daniel Todd Zoeteman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37203 Issued in AZ

Practice address

7550 N 19TH Ave
Suite 103
Phoenix, AZ 85021-7980

Phone

(602) 995-5909

Fax

(602) 864-9233

NPI assigned

Feb 15, 2007

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 AZ

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

Specialty

Family Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: arizonavalleymedicine.danielzoeteman@136055.advancedmd-direct.com

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.

• Arizona Valley Medicine PLLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1538694252
  Medicare reassignment NPD Authorized official
• John V. Battersby D.O., P.L.L.C.

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1205264777
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1104969310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 N 19TH AVE",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217980",
            "telephone_number": "602-995-5909",
            "fax_number": "602-864-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 N 19TH AVE",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217980",
            "telephone_number": "602-995-5909",
            "fax_number": "602-864-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOETEMAN",
        "first_name": "DANIEL",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "37203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Ronald Zmyslinski, O.D.
• Erin Zoch, PT, DPT
• Zoe Forester MD PC
• Taylor Anne Zoellner, DO
• Morgan L Zoemisch, MS, CCC-SLP
• Zograbi Health Services Inc
• Lee A Zohaunnie-Russell
• Jozef Zoldos, M.D.
• Philip R Zollars, MD
• Jon D Zoltan, MD

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.