Ziva Medical Specialty Clinic LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ZIVA MEDICAL SPECIALTY CLINIC LLC

Practice address

515 E Promenade St Ste 2
Mexico, MO 65265-2966

Phone

(573) 570-3510

NPI assigned

Jul 17, 2023

Last updated

Sep 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Shurtz

Title

Ceo

Phone

(573) 570-3555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1548949514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E PROMENADE ST STE 2",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E PROMENADE ST STE 2",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652966",
            "telephone_number": "573-570-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIVA MEDICAL SPECIALTY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "SHURTZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-570-3555"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ziva Medical Center LLC (Zivamed Idtf)
• Ziva Medical Center LLC (Zivamed ASC)
• Ziva Medical Imaging LLC
• Ziva Medical Lab Mo LLC
• Ziva Medical Primary Care LLC

• Orthopaedic Surgery Physician in Mexico, MO
• Providers in Mexico, MO by specialty
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.