Active NPI
Zacharis Medical Consulting LLC
- Pulmonary Disease Physician
- New Smyrna Beach, FL
National Provider Identifier
1134669203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- ZACHARIS MEDICAL CONSULTING LLC
- Practice address
- 1055 N Dixie Fwy
Suite 1
New Smyrna Beach, FL 32168-6201 - Phone
- (386) 423-0505
- Fax
- (386) 423-0515
- NPI assigned
- Mar 8, 2017
- Last updated
- Mar 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theodossis Zacharis, MD
- Title
- Owner
- Phone
- (386) 423-0505
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
1055 N Dixie Fwy
Suite 1
New Smyrna Beach, FL 32168-6201
Mailing address
1055 N Dixie Fwy
Suite 1
New Smyrna Beach, FL 32168-6201
Phone (386) 423-0505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME95732 | Other | FL | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pulmonary Disease Physician
- New Smyrna Beach, FL
- NPI 1205889243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488931200000",
"number": "1134669203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N DIXIE FWY",
"address_2": "SUITE 1",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321686201",
"telephone_number": "386-423-0505",
"fax_number": "386-423-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N DIXIE FWY",
"address_2": "SUITE 1",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321686201",
"telephone_number": "386-423-0505",
"fax_number": "386-423-0515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZACHARIS MEDICAL CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-08",
"last_updated": "2017-03-08",
"status": "A",
"authorized_official_last_name": "ZACHARIS",
"authorized_official_first_name": "THEODOSSIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-423-0505",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME95732",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.