Mark Zachary MD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

12879 Issued in AZ

Legal business name

MARK ZACHARY MD

Practice address

18275 N 59TH Ave
BLDG M 176
Glendale, AZ 85308-1260

Phone

(602) 843-2866

Fax

(602) 938-1491

NPI assigned

Feb 6, 2006

Organization subpart

No

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

Authorized official

Name

Mark Zachary, M.D.

Title

Orthopedic Surgeon

Phone

(602) 843-2866

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1306818158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE",
            "address_2": "BLDG M 176",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-843-2866",
            "fax_number": "602-938-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE",
            "address_2": "BLDG M 176",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-843-2866",
            "fax_number": "602-938-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ZACHARY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "ZACHARY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "602-843-2866",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "12879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4207700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0004670",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z3860",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224204",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "34326",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariposa Hospice LLC
• Mark a. Gaona, D.D.S., P.C.
• Mark B Hughes DDS PC
• Mark Jensen DDS
• Mark Winograd, M.D., P.C.
• Nicole Marks, WHNP-BC
• Marlin L. Dimond, M.D.,P.C.
• John Marlow, PT, DPT
• Kennedy Marois, PT
• Kacie Marolda

• Medical Specialty Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.