Active NPI
George Zislis
- Foot & Ankle Surgery Podiatrist
- Jacksonville, FL
National Provider Identifier
1790188514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PR384
- Practice address
- 9422 Arlington Expy
Jacksonville, FL 32225-8231 - Phone
- (904) 559-1844
- Fax
- (904) 900-7707
- NPI assigned
- Oct 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | PR384 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PR384 | FL | Primary |
Addresses
Primary practice location
9422 Arlington Expy
Jacksonville, FL 32225-8231
Mailing address
9422 Arlington Expy
Jacksonville, FL 32225-8231
Phone (904) 559-1844
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR384 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George Zislis, PA | Current | Accepting new patients | |
| Bruce J Levine DPM PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Chen Neighborhood Medical Centers of South Florida, LLC | Current | Accepting new patients |
Locations
2521 Countryside Blvd
Clearwater, FL 33763
Phone (727) 797-5008
390 S State Road 7
Hollywood, FL 33023
Phone (954) 743-5522
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Clearwater, FL
- NPI 1700995537
-
- Specialist
- Miami Gardens, FL
- NPI 1881024800
-
- Non-Pharmacy Dispensing Site
- Hollywood, FL
- NPI 1003409707
-
- Podiatrist
- Hollywood, FL
- NPI 1932608544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1790188514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9422 ARLINGTON EXPY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322258231",
"telephone_number": "904-559-1844",
"fax_number": "904-900-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9422 ARLINGTON EXPY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322258231",
"telephone_number": "904-559-1844",
"fax_number": "904-900-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZISLIS",
"first_name": "GEORGE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-07",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "FL",
"license": "PR384",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PR384",
"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 Oct 9, 2024; 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.