Judy L. Zacher, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

01054348A Issued in IN

Practice address

3974 New Vision Drive
Fort Wayne, IN 46845-1712

Phone

(260) 471-5980

Fax

(260) 471-5981

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1124063102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3974 NEW VISION DRIVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451712",
            "telephone_number": "260-471-5980",
            "fax_number": "260-471-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3974 NEW VISION DRIVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451712",
            "telephone_number": "260-471-5980",
            "fax_number": "260-471-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHER",
        "first_name": "JUDY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01054348A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000381394",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH/COVENTRY",
            "identifier": "1919896",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Yurkanin, M.D.
• Michael Yurkanin, M.D.
• Mukhabbat Yusupova, MA
• Ywca Northeast Indiana Inc
• Milan Za, MD
• Kathryn Zachman-Pavell, O.D.
• Matthew Ryan Zachman, PTA
• Thomas Robert Zachman, O.D.
• Erica L Zachrich, PT
• Annette Lillian Zacur, APRN

• Obstetrics & Gynecology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.