NPIMap

Organization Active NPI

Zia Medical Group LLC

Doing business as ZMG

  • Multi-Specialty Clinic/Center
  • Clovis, NM
National Provider Identifier
1437804408
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ZIA MEDICAL GROUP LLC
Doing business as
ZMG
Practice address
233 Fairway Ter N Ste B
Clovis, NM 88101-3060
Phone
(575) 762-7779
Fax
(575) 762-3526
NPI assigned
Feb 17, 2022
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Ahmad Othman, MDNPI 1255688271
Title
Manager
Phone
(312) 813-6958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Surgical Physician Assistant 363AS0400X
Primary Care Nurse Practitioner 363LP2300X
Surgery Physician 208600000X

Addresses

Primary practice location

233 Fairway Ter N Ste B
Clovis, NM 88101-3060

Mailing address

PO Box 5032
Clovis, NM 88102-5032
Phone (575) 762-7779

Other names 1

  • ZMG Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1437804408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5032",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881025032",
            "telephone_number": "575-762-7779",
            "fax_number": "575-762-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 FAIRWAY TER N STE B",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013060",
            "telephone_number": "575-762-7779",
            "fax_number": "575-762-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "OTHMAN",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-813-6958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZMG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.