Zachariah W. King, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

N6424 Issued in TX

Practice address

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766

Phone

(903) 614-3000

Fax

(903) 614-3525

NPI assigned

Apr 25, 2007

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zach.king.p1@direct.collom-carney.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Collom & Carney Clinic Association

  dba Collom and Carney Clinic

  • Hematology & Oncology Physician
  • Texarkana, TX
  • NPI 1114909934
  Medicare reassignment NPD
• Collom & Carney Clinic Association

  • Nephrology Physician
  • Texarkana, TX
  • NPI 1265414635
  NPD
• Collom and Carney Clinic Association

  • Pediatrics Physician
  • Texarkana, TX
  • NPI 1588646301
  NPD
• Collom and Carney Clinic Association

  • Clinic/Center
  • Texarkana, TX
  • NPI 1871575514
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1285853515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ZACHARIAH",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-6015",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N6424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176922001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Kettle
• Mohammed A Khanzada, MD
• Priscilla Kier, OD
• Evelyn Stephanie Kight, RDH
• Herman L. Kile Jr., MD
• James A Kitchens, DDS
• Cheryl Ann Kite, ANP
• Cordell L Klein, MD
• Lauren Kneese, PTA
• Knighton Center PLLC

• Pediatrics Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.