Active NPI
Isam Zaza, MD
- General Practice Physician
- Seattle, WA
National Provider Identifier
1174920581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301061307
- Practice address
- 4735 E Marginal Way S
Seattle, WA 98134-2388 - Phone
- (206) 760-6400
- NPI assigned
- Dec 1, 2014
- Last updated
- Sep 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301061307 | MI | Primary |
Addresses
Primary practice location
4735 E Marginal Way S
Seattle, WA 98134-2388
Mailing address
4735 E Marginal Way S
Seattle, WA 98134-2388
Phone (206) 866-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301061307 | MI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1174920581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 E MARGINAL WAY S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981342388",
"telephone_number": "206-866-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 E MARGINAL WAY S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981342388",
"telephone_number": "206-760-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAZA",
"first_name": "ISAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-01",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301061307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.