Active NPI
Josiah Ethan Zachary, MD
- Family Medicine Physician
- Dixon, KY
National Provider Identifier
1336757152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 58535
- Practice address
- 1355 US Highway 41a S
Dixon, KY 42409-9447 - Phone
- (270) 639-9101
- Fax
- (270) 639-9332
- NPI assigned
- Jul 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11021404A | IN | |
| Family Medicine Physician | 207Q00000X | 58535 | KY | Primary |
Addresses
Primary practice location
1355 US Highway 41a S
Dixon, KY 42409-9447
Mailing address
1355 US Highway 41a S
Dixon, KY 42409-9447
Phone (270) 639-9101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231024002636 | KY | Practitioner - Family Practice | 5395169593 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Clinic Inc
Practice addresses (Care Compare)
1355 US Hwy 41a S
Dixon, KY 42409-9447
Phone (270) 639-9101
Hospital & facility affiliations
- St Anthony'S Hospice Inc
- Deaconess Henderson Hospital
- Methodist Hospital Union County
- Baptist Health Deaconess Madisonville
- Deaconess Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58535 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Clinic, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Clinic Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Clinic, Inc | Family Medicine | Past | Accepting new patients |
Locations
1355 US Highway 41A S
Dixon, KY 42409
Phone (270) 639-9101
1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031
Interoperability endpoints
- jzachary219561@direct.deaconess.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Morganfield, KY
- NPI 1467027664
-
- Rural Health Clinic/Center
- Sebree, KY
- NPI 1538788443
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
-
- Rural Health Clinic/Center
- Fort Branch, IN
- NPI 1285880179
-
- Family Medicine Physician
- Oakland City, IN
- NPI 1396040374
-
- Rural Health Clinic/Center
- Princeton, IN
- NPI 1447862958
-
- Rural Health Clinic/Center
- Princeton, IN
- NPI 1528214400
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
Hospital
-
- Critical Access Hospital
- Morganfield, KY
- NPI 1497320519
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1336757152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 US HIGHWAY 41A S",
"city": "DIXON",
"state": "KY",
"postal_code": "424099447",
"telephone_number": "270-639-9101",
"fax_number": "270-639-9332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 US HIGHWAY 41A S",
"city": "DIXON",
"state": "KY",
"postal_code": "424099447",
"telephone_number": "270-639-9101",
"fax_number": "270-639-9332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHARY",
"first_name": "JOSIAH",
"middle_name": "ETHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-17",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11021404A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "58535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dixon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.