Organization Active NPI

Joseph K Zachariah, DO, PC

  • Infectious Disease Physician
  • Paradise Valley, AZ
National Provider Identifier
1154594695
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
3216 Issued in AZ
Legal business name
JOSEPH K ZACHARIAH, DO, PC
Practice address
4723 E Desert Park PL
Paradise Valley, AZ 85253-2949
Phone
(602) 486-5956
Fax
(623) 374-2321
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Joseph K Zachariah, DO
Title
President/Owner
Phone
(602) 791-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 3216 AZ Primary

Addresses

Primary practice location

4723 E Desert Park PL
Paradise Valley, AZ 85253-2949

Mailing address

PO Box 789
Peoria, AZ 85380-0789
Phone (602) 486-5956

Other identifiers 1

IdentifierTypeStateIssuer
379207MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1154594695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853800789",
            "telephone_number": "602-486-5956",
            "fax_number": "623-374-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 E DESERT PARK PL",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852532949",
            "telephone_number": "602-486-5956",
            "fax_number": "623-374-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH K ZACHARIAH, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "ZACHARIAH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "602-791-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "3216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379207",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.