NPIMap

Organization Active NPI

Vicente S. Zata, M.D.,P.C.

  • Family Medicine Physician
  • Hardin, IL
National Provider Identifier
1306933262
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-051832 Issued in IL
Legal business name
VICENTE S. ZATA, M.D.,P.C.
Practice address
2 Myrtle Lane
Hardin, IL 62047-0310
Phone
(618) 576-2416
Fax
(618) 576-9298
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Dr. Janeth Concepcion Jacinto-Zata X, MDNPI 1710057732
Title
Physician PCP
Phone
(618) 576-2416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036-051832 IL Primary

Addresses

Primary practice location

2 Myrtle Lane
Hardin, IL 62047-0310

Mailing address

2 Myrtle Lane
P.O Box 310
Hardin, IL 62047-0310
Phone (618) 576-2416

Other identifiers 2

IdentifierTypeStateIssuer
0000715000OtherILBCBS
036051832MedicaidIL

Other names 1

  • Calhoun Family Practice Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1306933262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MYRTLE LANE",
            "address_2": "P.O BOX 310",
            "city": "HARDIN",
            "state": "IL",
            "postal_code": "620470310",
            "telephone_number": "618-576-2416",
            "fax_number": "618-576-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MYRTLE LANE",
            "city": "HARDIN",
            "state": "IL",
            "postal_code": "620470310",
            "telephone_number": "618-576-2416",
            "fax_number": "618-576-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICENTE S. ZATA, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "JACINTO-ZATA",
        "authorized_official_first_name": "JANETH",
        "authorized_official_middle_name": "CONCEPCION",
        "authorized_official_title_or_position": "PHYSICIAN PCP",
        "authorized_official_telephone_number": "618-576-2416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-051832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000715000",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051832",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calhoun Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hardin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.