Individual provider Active NPI

Ann Marie Zischkau

  • Molecular Genetic Pathology (Medical Genetics) Physician
  • Lubbock, TX
National Provider Identifier
1265203806
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Molecular Genetic Pathology (Medical Genetics) PhysicianTaxonomy code 207SM0001X
License
1238 Issued in TX
Practice address
5717 2ND St
Lubbock, TX 79416-1503
Phone
(575) 313-9625
NPI assigned
Jan 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Molecular Genetic Pathology (Medical Genetics) Physician 207SM0001X 1238 TX Primary

Addresses

Primary practice location

5717 2ND St
Lubbock, TX 79416-1503

Mailing address

5717 2ND St
Lubbock, TX 79416-1503
Phone (575) 313-9625

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

State licenses

LicenseStateTypeSpecialty
1238TXMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1265203806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 2ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161503",
            "telephone_number": "575-313-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 2ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161503",
            "telephone_number": "575-313-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISCHKAU",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SM0001X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Molecular Genetic Pathology",
            "state": "TX",
            "license": "1238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.