Active NPI
Zaurov Psychiatry, PC
- Psychiatric/Mental Health Nurse Practitioner
- Keizer, OR
National Provider Identifier
1528505401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201700161NP-PP
- Legal business name
- ZAUROV PSYCHIATRY, PC
- Practice address
- 3787 River Rd North
Suite a
Keizer, OR 97303 - Phone
- (971) 599-3411
- Fax
- (971) 999-0906
- NPI assigned
- Jan 30, 2017
- Last updated
- Feb 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Zaurov, PMHNP
- Title
- Owner
- Phone
- (971) 599-3411
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 201700160RN | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201700161NP-PP | OR | Primary |
| Community/Behavioral Health Agency | 251S00000X | 201700161NP-PP | OR |
Addresses
Primary practice location
3787 River Rd North
Suite a
Keizer, OR 97303
Mailing address
3787 River Rd North
Suite a
Keizer, OR 97303
Phone (971) 599-3411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3787 River Rd N
Ste A
Keizer, OR 97303
Phone (503) 763-1778
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Salem, OR
- NPI 1821547886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486598400000",
"number": "1528505401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3787 RIVER RD NORTH",
"address_2": "SUITE A",
"city": "KEIZER",
"state": "OR",
"postal_code": "97303",
"telephone_number": "971-599-3411",
"fax_number": "971-999-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3787 RIVER RD NORTH",
"address_2": "SUITE A",
"city": "KEIZER",
"state": "OR",
"postal_code": "97303",
"telephone_number": "971-599-3411",
"fax_number": "971-999-0906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZAUROV PSYCHIATRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-30",
"last_updated": "2017-02-09",
"status": "A",
"authorized_official_last_name": "ZAUROV",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "971-599-3411",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OR",
"license": "201700160RN",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201700161NP-PP",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OR",
"license": "201700161NP-PP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.