Active NPI
Janeth Concepcion Jacinto Zata, MD
- General Practice Physician
- Hardin, IL
National Provider Identifier
1710057732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 36068286
- Practice address
- 2 Myrtle Lane
Hardin, IL 62047-0310 - Phone
- (618) 576-2416
- Fax
- (618) 576-9298
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 36068286 | IL | Primary |
Addresses
Primary practice location
2 Myrtle Lane
Hardin, IL 62047-0310
Mailing address
PO Box 310
2 Myrtle Lane
Hardin, IL 62047-0310
Phone (618) 576-2416
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36068286 | Medicaid | IL | |
| 0000715000 | Other | IL | BCBS |
Other names 1
- Dr. Janeth Concepcion Zata
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 |
|---|---|---|---|
| 36068286 | IL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vicente S. Zata, M.D.,P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Hardin, IL
- NPI 1306933262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199059200000",
"number": "1710057732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"address_2": "2 MYRTLE LANE",
"city": "HARDIN",
"state": "IL",
"postal_code": "620470310",
"telephone_number": "618-576-2416",
"fax_number": "618-576-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MYRTLE LANE",
"city": "HARDIN",
"state": "IL",
"postal_code": "620470310",
"telephone_number": "618-576-2416",
"fax_number": "618-576-9298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACINTO ZATA",
"first_name": "JANETH",
"middle_name": "CONCEPCION",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "36068286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36068286",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0000715000",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANETH",
"last_name": "ZATA",
"middle_name": "CONCEPCION",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Hardin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.