Jia Xin Zhang, D.O.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

04699 Issued in KY

Practice address

3999 Dutchmans LN Ste 4a
Louisville, KY 40207-4745

Phone

(502) 365-2655

Fax

(502) 365-2770

NPI assigned

Jun 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1255625760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 DOYLE PARK DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054515",
            "telephone_number": "707-527-9510",
            "fax_number": "707-527-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN STE 4A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074745",
            "telephone_number": "502-365-2655",
            "fax_number": "502-365-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "JIA",
        "middle_name": "XIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "20A14902",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "L833249",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "04699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zenith Medical Group, LLC
• Domenic Zerega
• Sarah B. Zerhusen, DNP, APRN, NP-C
• Judi T Zernickow, MS, RN, PCCN, APRN
• Aaron Zhang
• Mike Weng Zhang
• Minglu Zhao, MSPA
• Wangjian Zhong, MD PHD
• Zhou Pain Management Center
• Jing Zhou, CRNA

• Nephrology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Nephrology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.