Active NPI
Jon D Zoltan, MD
- Orthopaedic Surgery Physician
- Phoenix, AZ
National Provider Identifier
1629055389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 9893
- Practice address
- 2222 E Highland Ave
Ste 300
Phoenix, AZ 85016-4872 - Phone
- (602) 277-6211
- Fax
- (866) 242-5309
- NPI assigned
- Dec 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 9893 | AZ | Primary |
Addresses
Primary practice location
2222 E Highland Ave
Ste 300
Phoenix, AZ 85016-4872
Mailing address
2222 E Highland Ave
Ste 300
Phoenix, AZ 85016-4872
Phone (602) 277-6211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219594 | Medicaid | AZ |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9893 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1629055389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 E HIGHLAND AVE",
"address_2": "STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164872",
"telephone_number": "602-277-6211",
"fax_number": "866-242-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 E HIGHLAND AVE",
"address_2": "STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164872",
"telephone_number": "602-277-6211",
"fax_number": "866-242-5309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOLTAN",
"first_name": "JON",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "9893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219594",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.