Active NPI
Jose U Zamora II, MD
- Surgery Physician
- Magnolia, AR
National Provider Identifier
1659487072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E-17443
- Practice address
- 2013 Karen Cir
Magnolia, AR 71753-4361 - Phone
- (760) 840-1837
- NPI assigned
- Aug 21, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E-17443 | AR | Primary |
Addresses
Primary practice location
2013 Karen Cir
Magnolia, AR 71753-4361
Mailing address
PO Box 116
Magnolia, AR 71754-0116
Phone (760) 840-1837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E-17443 | Other | AR | AR MEDICAL BOARD |
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 |
|---|---|---|---|
| 51141 | CA | MD | General Practice Dentistry |
| E-17443 | AR | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1659487072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717540116",
"telephone_number": "760-840-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2013 KAREN CIR",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717534361",
"telephone_number": "760-840-1837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "JOSE",
"middle_name": "U",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E-17443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR MEDICAL BOARD",
"identifier": "E-17443",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Magnolia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.