Active NPI
Kimberly S Zencka-Gotsch DO PLLC
- Anesthesiology Physician
- Tempe, AZ
National Provider Identifier
1144899527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- KIMBERLY S ZENCKA-GOTSCH DO PLLC
- Practice address
- 2421 E Southern Ave Ste 7
Tempe, AZ 85282-7612 - Phone
- (480) 425-2160
- Fax
- (480) 351-8797
- NPI assigned
- Jun 21, 2021
- Last updated
- Jun 21, 2021
- 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
- Kimberly S Zencka- Gotsch, DO
- Title
- Physician
- Phone
- (480) 425-2160
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
2421 E Southern Ave Ste 7
Tempe, AZ 85282-7612
Mailing address
PO Box 41150
Mesa, AZ 85274-1150
Phone (480) 425-2160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | AZ |
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.
-
- Anesthesiology Physician
- Tempe, AZ
- NPI 1598915050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624233600000",
"number": "1144899527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41150",
"city": "MESA",
"state": "AZ",
"postal_code": "852741150",
"telephone_number": "480-425-2160",
"fax_number": "480-351-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 E SOUTHERN AVE STE 7",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827612",
"telephone_number": "480-425-2160",
"fax_number": "480-351-8797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMBERLY S ZENCKA-GOTSCH DO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-21",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A",
"authorized_official_last_name": "ZENCKA- GOTSCH",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "480-425-2160",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.