Individual provider Active NPI

Isam Zaza, MD

  • General Practice Physician
  • Seattle, WA
National Provider Identifier
1174920581
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301061307 Issued in MI
Practice address
4735 E Marginal Way S
Seattle, WA 98134-2388
Phone
(206) 760-6400
NPI assigned
Dec 1, 2014
Last updated
Sep 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4301061307MIMDGeneral 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.

Verify at the official NPI Registry.