Organization Active NPI

Kimberly Susan Zencka-Gotsch DO

  • Anesthesiology Physician
  • Tempe, AZ
National Provider Identifier
1477980860
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
005882 Issued in AZ
Legal business name
KIMBERLY SUSAN ZENCKA-GOTSCH DO
Practice address
2421 E Southern Ave
Suite 1
Tempe, AZ 85282-7612
Phone
(480) 425-2160
Fax
(480) 839-4727
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Kimberly Susan Zencka-Gotsch, DO
Title
Physician
Phone
(480) 425-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 005882 AZ Primary

Addresses

Primary practice location

2421 E Southern Ave
Suite 1
Tempe, AZ 85282-7612

Mailing address

PO Box 41150
Mesa, AZ 85274-1150
Phone (480) 425-2160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1477980860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41150",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852741150",
            "telephone_number": "480-425-2160",
            "fax_number": "480-839-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 E SOUTHERN AVE",
            "address_2": "SUITE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827612",
            "telephone_number": "480-425-2160",
            "fax_number": "480-839-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY SUSAN ZENCKA-GOTSCH DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "ZENCKA-GOTSCH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-425-2160",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "005882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.