Individual provider Active NPI

James T. Zauche, M.D.

  • Pediatrics Physician
  • Garden City, KS
National Provider Identifier
1659323947
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-21649 Issued in KS
Practice address
311 E Spruce St
Garden City, KS 67846
Phone
(620) 275-3700
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 04-21649 KS Primary

Addresses

Primary practice location

311 E Spruce St
Garden City, KS 67846

Mailing address

311 E Spruce St
Garden City, KS 67846
Phone (620) 275-3700

Other identifiers 2

IdentifierTypeStateIssuer
KA1610045OtherKSMEDICARE PTAN
100204230BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050318000490 KS Practitioner - Pediatric Medicine 6204881626 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-21649KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonspirit Kansas, Inc. Current Accepting new patients
St Catherine Hospital Pediatrics CurrentSince Feb 1, 2017 Accepting new patients
Commonspirit Kansas, Inc. CurrentSince Feb 1, 2017 Accepting new patients
Commonspirit Kansas, Inc. Pediatrics Past Accepting new patients
St Catherine Hospital Past Accepting new patients

Locations

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

311 E Spruce St
Garden City, KS 67846
Phone (620) 271-3139

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1659323947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-275-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-275-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAUCHE",
        "first_name": "JAMES",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-21649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA1610045",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100204230B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.