James W Zacovic, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD00039170 Issued in WA

Practice address

450 S Kitsap Blvd Ste 100
Port Orchard, WA 98366-3709

Phone

(360) 744-6275

Fax

(360) 744-6270

NPI assigned

Dec 15, 2005

Last updated

Apr 9, 2009By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Harrison Medical Center

  dba Harrison Health Partners Family Medical Center

  • Rural Health Clinic/Center
  • Forks, WA
  • NPI 1255616579
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1780660498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 CHERRY AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104229",
            "telephone_number": "360-307-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S KITSAP BLVD STE 100",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663709",
            "telephone_number": "360-744-6275",
            "fax_number": "360-744-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACOVIC",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00039170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Young, PTA
• Jennifer Anne Young, D.C.
• Stephanie Tsai Luen Young, OTR
• Alexandra Youssef
• Jarred Zacher
• Vitali Zagalskiy, PHARMD
• Safoora Zaka, M.D.
• Brenda J Zener

• Emergency Medicine Physician in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.