Active NPI
James Christopher Zwanch, D.O.
- Surgery Physician
- Wytheville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0102203791
- Practice address
- 590 W Ridge Rd
Suite D
Wytheville, VA 24382-1094 - Phone
- (570) 498-2799
- NPI assigned
- Jan 29, 2010
- Last updated
- Jun 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OT 013225 | PA | |
| Surgery Physician | 208600000X | 0102203791 | VA | Primary |
Addresses
Primary practice location
590 W Ridge Rd
Suite D
Wytheville, VA 24382-1094
Mailing address
2604 Walnut Ridge Est
Pottstown, PA 19464-3092
Phone (570) 498-2799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 W 6TH Ave
Stillwater, OK 74074-4376
1323 NW 6TH Ave
Stillwater, OK 74074-4306
Phone (405) 372-1480
1323 W 6TH Ave
Kansas City, MO 74074-4306
417 Fairview Ave
Ponca City, OK 74601-1923
Phone (580) 762-3770
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 19 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Varicose vein removal | 18 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6565 | OK | MD | Dentist |
| OT 013225 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Surgery | Current | Accepting new patients |
| Stillwater Medical Center Authority | Past | Accepting new patients | |
| Stillwater Medical Center Physicians | Surgery | Past | Accepting new patients |
| Wellmont Cardiology Services | Past | Accepting new patients | |
| Wythe County Physician Practices LLC | Past | Accepting new patients |
Locations
400 Fairview Ave
Ste 16
Ponca City, OK 74601
Phone (580) 760-8324
417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770
1301 W 6th Ave
Ste 105
Stillwater, OK 74074
Phone (405) 533-1074
Interoperability endpoints
- james.zwanch.p1@direct.smc.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stillwater Family Medical of Perry
- Family Medicine Physician
- Perry, OK
- NPI 1407729361
-
- Diagnostic Radiology Physician
- Wytheville, VA
- NPI 1457168494
-
dba Stillwater Medical Center
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
-
- Cardiovascular Disease Physician
- Kingsport, TN
- NPI 1376575035
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Blackwell Regional Hospital
- Rural Acute Care Hospital
- Blackwell, OK
- NPI 1104375237
-
dba Stillwater Medical Center
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1710218847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 WALNUT RIDGE EST",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194643092",
"telephone_number": "570-498-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 W RIDGE RD",
"address_2": "SUITE D",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243821094",
"telephone_number": "570-498-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWANCH",
"first_name": "JAMES",
"middle_name": "CHRISTOPHER",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-29",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "OT 013225",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0102203791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wytheville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.