Active NPI
Christopher P Zazakos Jr., M.D.
- Hematology & Oncology Physician
- Charlottesville, VA
National Provider Identifier
1649256181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 0101029807
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006021760 | Medicaid | VA | |
| 110026248 | Other | VA | MEDICARE RAILROAD |
| 006070191 | Medicaid | VA | |
| 110117309 | Other | VA | MEDICARE 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.