Active NPI
Marian Zinnante, MD
- Obstetrics & Gynecology Physician
- Mansfield, TX
National Provider Identifier
1427030485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- K6434
- Practice address
- 120 N Miller Rd
Suite 300
Mansfield, TX 76063-9173 - Phone
- (817) 303-0496
- Fax
- (817) 473-4329
- NPI assigned
- Nov 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | K6434 | TX | Primary |
Addresses
Primary practice location
120 N Miller Rd
Suite 300
Mansfield, TX 76063-9173
Mailing address
120 N. Miller Rd.
Suite 300
Mansfield, TX 76063-9173
Phone (817) 303-0496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047124502 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20080219000520 | TX | Practitioner - Obstetrics/Gynecology | 0648181743 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6434 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Anesthesia Consultants, PLLC | Past | Accepting new patients |
Interoperability endpoints
- mzinnante@wca.directglo.com
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Dallas, TX
- NPI 1063896520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1427030485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 N. MILLER RD.",
"address_2": "SUITE 300",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639173",
"telephone_number": "817-303-0496",
"fax_number": "817-473-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N MILLER RD",
"address_2": "SUITE 300",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639173",
"telephone_number": "817-303-0496",
"fax_number": "817-473-4329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINNANTE",
"first_name": "MARIAN",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "K6434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047124502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.