Ziva Medical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ZIVA MEDICAL CENTER LLC

Practice address

620 E Monroe St Ste 2100
Mexico, MO 65265-2919

Phone

(573) 570-3517

NPI assigned

Dec 18, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Shurtz

Title

Ceo

Phone

(573) 570-3517

Specialties & licenses 1

Addresses

Other names 1

• ZIVAMED ASC Doing business as

Tax ID family

Ziva Medical Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ziva Medical Center LLC

  • Clinical Medical Laboratory
  • Mexico, MO
  • NPI 1043088149
  NPD tax ID
• Ziva Medical Center LLC

  • Physiological Laboratory
  • Mexico, MO
  • NPI 1063280170
  NPD tax ID

Locations

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1396513404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E MONROE ST STE 2100",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E MONROE ST STE 2100",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652919",
            "telephone_number": "573-570-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIVA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "SHURTZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-570-3517"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZIVAMED ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ziva Medical Audrain LLC
• Ziva Medical Audrain LLC
• Ziva Medical Audrain LLC
• Ziva Medical Center LLC
• Ziva Medical Center LLC
• Ziva Medical Imaging LLC
• Ziva Medical Lab Mo LLC
• Ziva Medical Primary Care LLC
• Ziva Medical Specialty Clinic LLC

• Ambulatory Surgical Clinic/Center in Mexico, MO
• Providers in Mexico, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.