Keith G Zacher, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

30227 Issued in AZ

Practice address

5080 N0Rth 40St
Suite 103
Phoenix, AZ 85018-8501

Phone

(480) 772-2453

Fax

(480) 452-1123

NPI assigned

Nov 9, 2005

Last updated

Jul 24, 2020By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

General Surgery

Education

Creighton University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
• Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
• Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Scottsdale Surgical Solutions PC

  • Medical Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1255869921
  Medicare reassignment
• Keith G. Zacher, MD, PLC

  • Surgery Physician
  • Scottsdale, AZ
  • NPI 1316901184
  NPD (past) Authorized official
• KZ Consultants PLC

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1013541507
  Authorized official Same address or phone
• Bertz Professional Corporation

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Scottsdale, AZ
  • NPI 1477075653
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Honorhealth

  dba HonorHealth Scottsdale Shea Medical Center

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1386608859
  Care Compare affiliation
• Honorhealth

  dba HonorHealth Scottsdale Thompson Peak Medical Center

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1417152745
  Care Compare affiliation
• Honorhealth

  dba HonorHealth Scottsdale Osborn Medical Center

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1811951429
  Care Compare affiliation

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1326029026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 E CAMELBACK RD # 1035",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164502",
            "telephone_number": "480-772-2453",
            "fax_number": "480-452-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 N0RTH 40ST",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188501",
            "telephone_number": "480-772-2453",
            "fax_number": "480-452-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHER",
        "first_name": "KEITH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "30227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "695728",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Zach, M.D.
• Zachary J. Wells D.C. PLLC
• Alexandra Zachary, M.A, BCBA
• Jamie Zacher, PHARMD
• Jeffrey Jerome Zacher, M.D.
• Michael William Zacher, DDS
• Peggy Jo Zacher, PSY S
• Richard C Zacher, MD
• Holly Elizabeth Zachry, LPC
• Neil R Zachs, D.M.D, M.S

• Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.