Zivko Z Gajic, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME39762 Issued in FL

Practice address

2505 Flagler Ave
Key West, FL 33040-3934

Phone

(305) 295-6790

Fax

(305) 295-8404

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bruce L Boros MD PA

  • Specialist
  • Key West, FL
  • NPI 1659443976
  Medicare reassignment NPD
• Bruce L Boros MD PA

  • Internal Medicine Physician
  • Key Largo, FL
  • NPI 1851073514
  NPD
• Pride Care Center Inc

  • Clinic/Center
  • Marathon, FL
  • NPI 1093967341
  NPD (past)
• Zivko Z. Gajic MD. PA

  • Primary Care Clinic/Center
  • Key West, FL
  • NPI 1982074977
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1720154172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 FLAGLER AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403934",
            "telephone_number": "305-295-6790",
            "fax_number": "305-295-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 FLAGLER AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403934",
            "telephone_number": "305-295-6790",
            "fax_number": "305-295-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJIC",
        "first_name": "ZIVKO",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME 39762",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME39762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069563700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96002",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank True Lansden, Jr., M.D., P.a.,
• Frank R Freistak, DDS
• FSS Keys LLC
• Carla Fuquay, IMHC
• Sarah Gaccione, MS SLP
• April L Gallagher, AGACNP
• Dave Jimenes Galvizo, IDHS
• Marie J Gann
• Alicia Nicole Garcia
• Rachel Garcia

• Family Medicine Physician in Key West, FL
• Providers in Key West, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.