Organization Active NPI

Gary B Zoellner MD a Professional Corporation

  • Orthopaedic Surgery Physician
  • Yuma, AZ
National Provider Identifier
1225084890
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
30437 Issued in AZ
Legal business name
GARY B ZOELLNER MD A PROFESSIONAL CORPORATION
Practice address
1501 W 24TH St
Suite 204
Yuma, AZ 85364-6370
Phone
(928) 726-5054
Fax
(928) 314-0885
NPI assigned
May 25, 2006
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Gary Bernard Zoellner, MD
Title
President
Phone
(928) 726-5054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 30437 AZ Primary

Addresses

Primary practice location

1501 W 24TH St
Suite 204
Yuma, AZ 85364-6370

Mailing address

1501 W 24TH St
Suite 204
Yuma, AZ 85364-6370
Phone (928) 726-5054

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1225084890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W 24TH ST",
            "address_2": "SUITE 204",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646370",
            "telephone_number": "928-726-5054",
            "fax_number": "928-314-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W 24TH ST",
            "address_2": "SUITE 204",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646370",
            "telephone_number": "928-726-5054",
            "fax_number": "928-314-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY B ZOELLNER MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "ZOELLNER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-726-5054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "30437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.