John Gregory Zoltani, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD00027139 Issued in WA

Practice address

7502 Lakewood Dr W
Suite C-7
Lakewood, WA 98499-8410

Phone

(253) 581-8151

Fax

(253) 581-8152

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• J Greg Zoltani Professional name

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Neurology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Pacific Northwest Neurology PLLC

  • Specialist
  • Steilacoom, WA
  • NPI 1194993311
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497766224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88907",
            "city": "STEILACOOM",
            "state": "WA",
            "postal_code": "983880500",
            "telephone_number": "253-581-8151",
            "fax_number": "253-581-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 LAKEWOOD DR W",
            "address_2": "SUITE C-7",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998410",
            "telephone_number": "253-581-8151",
            "fax_number": "253-581-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLTANI",
        "first_name": "JOHN",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD00027139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0062048",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1056415",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "ZOLTANI",
            "middle_name": "GREG",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sahar Zolfaghari, D.D.S., M.S.D
• Ivy Zolle, LMHC
• Mariah Zoller
• Jordan Lee Zollinger
• Tiffany Zolman
• Sylvia Zullo
• Alain Zurmuhlen, DPT
• Alex Hugh Zylstra, D.C.

• Neurology Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.