Zach Zhishuo Ou, MD

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Practice address

2000 Vivigen Way
Santa Fe, NM 87505-5600

Phone

(505) 438-2105

NPI assigned

May 28, 2020

Last updated

May 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1740803444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VIVIGEN WAY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VIVIGEN WAY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055600",
            "telephone_number": "505-438-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OU",
        "first_name": "ZACH",
        "middle_name": "ZHISHUO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "32D0653253",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ouz@labcorp.com",
            "affiliation": "N",
            "address_1": "2000 Vivigen Way",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875055600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alfred NMN Otero Jr., DDS
• Jeremiah B Otero, HAD
• Jorge E Oti, DDS
• Reed Macwilliam Otten, M.D.
• Howard M. Ottenheimer, PH.D.
• Our Imaginal World, LLC
• Luz De Ovalle, RN
• Preston Juliette Owen
• Candice Owens
• Sara Ruth Owens, PH.D.

• Ph.D. Medical Genetics in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Ph.D. Medical Genetics in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.