Individual provider Active NPI

George P. Zuk Jr., D.P.M.

  • Podiatrist
  • Bristol, CT
National Provider Identifier
1124055884
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000512 Issued in CT
Practice address
6 North St
Bristol, CT 06010-4148
Phone
(860) 585-0585
Fax
(860) 585-0602
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000512 CT Primary

Addresses

Primary practice location

6 North St
Bristol, CT 06010-4148

Mailing address

6 North Street
P.O. Box 1872
Bristol, CT 06011-1872
Phone (860) 585-0585

Other identifiers 6

IdentifierTypeStateIssuer
030000512CT01OtherCTBC/BS OF CT
712811OtherCTCONNECTICARE
7426813003OtherCTCIGNA
OVO800OtherCTHEALTHNET
2701451OtherCTEVERCARE
P778770OtherCTOXFORD INSURANCE

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

State licenses

LicenseStateTypeSpecialty
000512CTMDPodiatrist
512CTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
George P. Zuk, Jr., D.P.M. CurrentSince Sep 1, 1989 Accepting new patients

Locations

6 North St
Bristol, CT 06010
Phone (860) 585-0585

6 North St
Fl 1
Bristol, CT 06010
Phone (860) 585-0585

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1124055884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NORTH STREET",
            "address_2": "P.O. BOX 1872",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060111872",
            "telephone_number": "860-585-0585",
            "fax_number": "860-585-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NORTH ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104148",
            "telephone_number": "860-585-0585",
            "fax_number": "860-585-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUK",
        "first_name": "GEORGE",
        "middle_name": "P.",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF CT",
            "identifier": "030000512CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "712811",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7426813003",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OVO800",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "2701451",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INSURANCE",
            "identifier": "P778770",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.