Individual provider Active NPI

Joseph B Zwischenberger, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lexington, KY
National Provider Identifier
1295827921
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
41321 Issued in KY
Practice address
800 Rose Street, Mn264
University of Kentucky, Department of Surgery
Lexington, KY 40536-0298
Phone
(859) 323-6013
Fax
(859) 323-1045
NPI assigned
Sep 29, 2006
Last updated
Jun 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 41321 KY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 41321 KY Primary

Addresses

Primary practice location

800 Rose Street, Mn264
University of Kentucky, Department of Surgery
Lexington, KY 40536-0298

Mailing address

800 Rose Street, Mn264
University of Kentucky, Department of Surgery
Lexington, KY 40536-0298
Phone (859) 323-6013

Other identifiers 1

IdentifierTypeStateIssuer
129740002MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TP486KYMDSurgery Physician
41321KYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1295827921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET, MN264",
            "address_2": "UNIVERSITY OF KENTUCKY, DEPARTMENT OF SURGERY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360298",
            "telephone_number": "859-323-6013",
            "fax_number": "859-323-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET, MN264",
            "address_2": "UNIVERSITY OF KENTUCKY, DEPARTMENT OF SURGERY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360298",
            "telephone_number": "859-323-6013",
            "fax_number": "859-323-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWISCHENBERGER",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "KY",
            "license": "41321",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "41321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129740002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.