Individual provider Active NPI

Garima Prasad Zucker, D.O.

  • Family Medicine Physician
  • Hurst, TX
National Provider Identifier
1609824655
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3440 Issued in TX
Practice address
720 E Hurst Blvd
Hurst, TX 76053
Phone
(817) 907-2458
Fax
(817) 481-6828
NPI assigned
May 4, 2006
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L3440 TX Primary

Addresses

Primary practice location

720 E Hurst Blvd
Hurst, TX 76053

Mailing address

1859 Broken Bend Dr
Westlake, TX 76262-8205
Phone (817) 907-2458

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mail

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
L3440TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Suchowiecky Center Past Accepting new patients
Family Healthcare Associates Family Medicine PastSince Jul 13, 2018 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1609824655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 BROKEN BEND DR",
            "city": "WESTLAKE",
            "state": "TX",
            "postal_code": "762628205",
            "telephone_number": "817-907-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E HURST BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "76053",
            "telephone_number": "817-907-2458",
            "fax_number": "817-481-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKER",
        "first_name": "GARIMA",
        "middle_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-07-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mail",
            "affiliation": "N",
            "address_1": "720 E Hurst Blvd",
            "city": "Hurst",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.