Jill Marie Zdan, NMD, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9838 Issued in AZ

Practice address

9250 N 3Rd St Ste 3025
Phoenix, AZ 85020-2428

Phone

(602) 944-4628

Fax

(602) 944-2805

NPI assigned

Oct 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jill Marie Sullivan Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Midwestern University College of Dental Medicine, Downers Grove, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Center for Hematology and Oncology PLCGroup PAC ID 8123007747, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Arizona Center for Hematology and Oncology PLC

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1841243722
  Medicare reassignment Care Compare group NPD (past)
• Arizona Center for Hematology and Oncology, PLC

  • Surgery Physician
  • Peoria, AZ
  • NPI 1083007165
  NPD
• Arizona Center for Hematology and Oncology, PLC

  • Nuclear Radiology Physician
  • Glendale, AZ
  • NPI 1417216607
  NPD

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1477064665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18012 W LAWRENCE LN",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853557515",
            "telephone_number": "928-460-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST STE 3025",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202428",
            "telephone_number": "602-944-4628",
            "fax_number": "602-944-2805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18012 W Lawrence Ln",
            "address_purpose": "LOCATION",
            "city": "Waddell",
            "state": "AZ",
            "postal_code": "853557515",
            "country_code": "US",
            "telephone_number": "928-460-3305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZDAN",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "NMD, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "17-1652",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "9838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SULLIVAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zaza Rehabmd LLC
• Dina I Zaza III, MD
• Jennifer Zazueta, CSFA
• Jennifer Zazzarino, MSN, FNP-BC
• William Bret Zboril, RN
• Stereen Zebari, NP
• Casey William Zebley, RN
• Sandra M Zebrowski, MD
• Angelita Crystal Zechman, FNP-BC
• Heather M Zechman, MD

• Medical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.