Organization Active NPI

Lenka Zachar MD PLC

  • Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1710245840
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME68497 Issued in FL
Legal business name
LENKA ZACHAR MD PLC
Practice address
3 Shircliff Way Ste 500
Jacksonville, FL 32204-4757
Phone
(904) 308-5266
Fax
(904) 308-5267
NPI assigned
Apr 26, 2012
Last updated
Jul 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Lenka Zachar, MDNPI 1902833569
Title
President
Phone
(904) 308-5266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME68497 FL Primary

Addresses

Primary practice location

3 Shircliff Way Ste 500
Jacksonville, FL 32204-4757

Mailing address

1650 Margaret St
Suite 302 Box 148
Jacksonville, FL 32204-3868
Phone (904) 308-5266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140908002353 FL Part B Supplier - Clinic/Group Practice 1355560285 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

3 Shircliff Way
Ste 500
Jacksonville, FL 32204
Phone (904) 308-5266

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1710245840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MARGARET ST",
            "address_2": "SUITE 302 BOX 148",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043868",
            "telephone_number": "904-308-5266",
            "fax_number": "904-308-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY STE 500",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044757",
            "telephone_number": "904-308-5266",
            "fax_number": "904-308-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENKA ZACHAR MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "ZACHAR",
        "authorized_official_first_name": "LENKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-308-5266",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME68497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.