John Zak III PA Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

JOHN ZAK III PA INC

Practice address

570 Memorial Cir Ste 110
Ormond Beach, FL 32174-5063

Phone

(386) 437-5980

Fax

(386) 437-5981

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

John Zak III, M.D.NPI 1548210594

Title

Owner

Phone

(386) 255-4425

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Zak III, M.D.

  • Gastroenterology Physician
  • Ormond Beach, FL
  • NPI 1548210594

  Specialist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1508807488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR STE 110",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745063",
            "telephone_number": "386-437-5980",
            "fax_number": "386-437-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR STE 110",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745063",
            "telephone_number": "386-437-5980",
            "fax_number": "386-437-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ZAK III PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "ZAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-255-4425",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372114100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Deanne Jensen, LCSW
• Jerrold Ecklind DO PA
• John B Turner MD PA
• John F Cullen MD
• John R. Chewning DO PA
• Chhaya Johnson, MA
• Donald Charles Johnson Jr., DPM
• Erica Lynn Johnson, PHARMD
• Jacqueline L Johnson
• Vivianne Johnson

• Gastroenterology Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.