Zakery Austin Koban, MPAS, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA054426 Issued in PA

Practice address

14000 Perry Hwy
Wexford, PA 15090-8442

Phone

(724) 933-1800

Fax

(724) 933-1810

NPI assigned

Sep 29, 2013

Last updated

Sep 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Premier Plastic Surgery, P.C.

  • Plastic Surgery Physician
  • Wexford, PA
  • NPI 1760436349
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1380412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380412800000",
    "number": "1407283922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 TEE CT",
            "city": "PRESTO",
            "state": "PA",
            "postal_code": "151421502",
            "telephone_number": "814-341-0259",
            "fax_number": "724-933-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908442",
            "telephone_number": "724-933-1800",
            "fax_number": "724-933-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBAN",
        "first_name": "ZAKERY",
        "middle_name": "AUSTIN",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-29",
        "last_updated": "2013-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA054426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew S Klocek, MD, PHD
• Christina Irene Klufas, M.D.
• Janice Adrienne Knapp, PHD
• Alexandra Knorr, LMT
• Alyssa Knowlson, OTR/L
• Luke G Kocan, LPC
• Kateryna Kocelko
• Koch Chiropractic P.C. (North Allegheny Health & Wellness Center)
• Gary C Koch, DC
• Kathleen Marie Kocherzat, PHD

• Surgical Physician Assistant in Wexford, PA
• Providers in Wexford, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2013; 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.