Individual provider Active NPI

Christopher P Zazakos Jr., M.D.

  • Hematology & Oncology Physician
  • Charlottesville, VA
National Provider Identifier
1649256181
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101029807 Issued in VA
Practice address
590 Peter Jefferson Place
Suite 175
Charlottesville, VA 22911-0001
Phone
(434) 982-6900
Fax
(434) 982-8420
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101029807 VA Primary

Addresses

Primary practice location

590 Peter Jefferson Place
Suite 175
Charlottesville, VA 22911-0001

Mailing address

590 Peter Jefferson Place
Suite 175
Charlottesville, VA 22911-0001
Phone (434) 982-6900

Other identifiers 4

IdentifierTypeStateIssuer
006021760MedicaidVA
110026248OtherVAMEDICARE RAILROAD
006070191MedicaidVA
110117309OtherVAMEDICARE RAILROAD /AMC

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

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1649256181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 PETER JEFFERSON PLACE",
            "address_2": "SUITE 175",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229110001",
            "telephone_number": "434-982-6900",
            "fax_number": "434-982-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 PETER JEFFERSON PLACE",
            "address_2": "SUITE 175",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229110001",
            "telephone_number": "434-982-6900",
            "fax_number": "434-982-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAZAKOS",
        "first_name": "CHRISTOPHER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101029807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006021760",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110026248",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006070191",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD /AMC",
            "identifier": "110117309",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.