Individual provider Active NPI

Jonathan Gabriel Zuess, M.D.

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Phoenix, AZ
National Provider Identifier
1770541450
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
29189 Issued in AZ
Practice address
4545 East Shea Blvd.
Suite 174
Phoenix, AZ 85028-3061
Phone
(602) 923-1694
Fax
(602) 923-1913
NPI assigned
May 3, 2006
Last updated
Jan 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 29189 AZ
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 29189 AZ Primary

Addresses

Primary practice location

4545 East Shea Blvd.
Suite 174
Phoenix, AZ 85028-3061

Mailing address

4545 East Shea Blvd.
Suite 174
Phoenix, AZ 85028-3061
Phone (602) 923-1694

Other identifiers 1

IdentifierTypeStateIssuer
594970MedicaidAZ

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1770541450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 EAST SHEA BLVD.",
            "address_2": "SUITE 174",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283061",
            "telephone_number": "602-923-1694",
            "fax_number": "602-923-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 EAST SHEA BLVD.",
            "address_2": "SUITE 174",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283061",
            "telephone_number": "602-923-1694",
            "fax_number": "602-923-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUESS",
        "first_name": "JONATHAN",
        "middle_name": "GABRIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "29189",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "AZ",
            "license": "29189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "594970",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.