Active NPI
Elliot Joseph Zahtz, M.D.
- Surgery Physician
- Minneapolis, MN
National Provider Identifier
1114188778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 54786
- Practice address
- 516 Delaware Street SE, PWB Second Floor, Clinic 2a
Ump Transplant & Medicine Specialties
Minneapolis, MN 55455 - Phone
- (612) 884-0649
- NPI assigned
- Jun 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 54786 | MN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | MD037346 | DC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 238469 | NY |
Addresses
Primary practice location
516 Delaware Street SE, PWB Second Floor, Clinic 2a
Ump Transplant & Medicine Specialties
Minneapolis, MN 55455
Mailing address
720 Washington Ave SE
University of Minnesota Physicians
Minneapolis, MN 55414
Phone (612) 884-0649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54786 | MN | MD | Surgery Physician |
| MD037346 | DC | MD | Student in an Organized Health Care Education/Training Program |
| 238469 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1114188778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WASHINGTON AVE SE",
"address_2": "UNIVERSITY OF MINNESOTA PHYSICIANS",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55414",
"telephone_number": "612-884-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A",
"address_2": "UMP TRANSPLANT & MEDICINE SPECIALTIES",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-884-0649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAHTZ",
"first_name": "ELLIOT",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "54786",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "DC",
"license": "MD037346",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "238469",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.