Individual provider Active NPI

Marian Zinnante, MD

  • Obstetrics & Gynecology Physician
  • Mansfield, TX
National Provider Identifier
1427030485
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K6434 Issued in TX
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

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
047124502MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080219000520 TX Practitioner - Obstetrics/Gynecology 0648181743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K6434TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Anesthesia Consultants, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.