Jack Anderson Zamora, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

42961 Issued in CO

Practice address

3773 Cherry Creek North Dr
Suite 140
Denver, CO 80209-3814

Phone

(303) 780-7377

NPI assigned

Dec 22, 2005

Last updated

Jul 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ophthalmic Consultants of Colorado, Prof. LLC.

  • Ophthalmology Physician
  • Denver, CO
  • NPI 1386834315
  Authorized official Same address or phone
• Novamed Surgery Center of Colorado Springs LLC

  • Certified Registered Nurse Anesthetist
  • Colorado Springs, CO
  • NPI 1750794681
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1609852441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 STEELE STREET",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80206",
            "telephone_number": "303-780-7377",
            "fax_number": "866-420-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 CHERRY CREEK NORTH DR",
            "address_2": "SUITE 140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093814",
            "telephone_number": "303-780-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "JACK",
        "middle_name": "ANDERSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "215374",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "42961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78134765",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "181542901",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patra Jane Zambetis, NP
• David Zamboni, RDH, BS
• Natalie Wilmer Zamin, FNP
• Irene Juditt Zamora Garcia
• Maria Monica Zamora-Harris, PTA
• John L Zamora, BS CAC III
• Lara Decarlos Zamora
• Peyton Zamora
• Valerie Zamora, PT
• Christine M Zander, OT

• Ophthalmology Physician in Denver, CO
• Providers in Denver, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.