NPIMap

Organization Active NPI

Ziva Medical Audrain LLC

Doing business as Zivamed Surgery

  • Ambulatory Surgical Clinic/Center
  • Mexico, MO
National Provider Identifier
1154102754
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ZIVA MEDICAL AUDRAIN LLC
Doing business as
Zivamed Surgery
Practice address
620 E Monroe St
Mexico, MO 65265-2919
Phone
(573) 570-3517
Fax
(573) 675-6040
NPI assigned
Oct 10, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ZIVA MEDICAL AUDRAIN LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Amanda Shurtz
Title
Ceo
Phone
(573) 570-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

620 E Monroe St
Mexico, MO 65265-2919

Mailing address

PO Box 197
Lakewood, NJ 08701-0197

Other names 1

  • ZIVAMED SURGERY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Zivamed Primary Care4 organizations share this tax ID, including this one
Part of
Zivamed Primary Care

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1154102754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087010197",
            "fax_number": "573-675-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E MONROE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652919",
            "telephone_number": "573-570-3517",
            "fax_number": "573-675-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIVA MEDICAL AUDRAIN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZIVA MEDICAL AUDRAIN LLC",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "SHURTZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-570-3555"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZIVAMED SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mexico, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.