Active NPI
Allan Norman Zacher III, MD
- Specialist
- Clyde, NC
National Provider Identifier
1790761096
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jan 19, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 30531
- Practice address
- 24 Falcon Crest LN
Clyde, NC 28721-6620 - Phone
- (828) 627-9998
- Fax
- (828) 627-9946
- NPI assigned
- Dec 19, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 30531 | NC | Primary |
Addresses
Primary practice location
24 Falcon Crest LN
Clyde, NC 28721-6620
Mailing address
24 Falcon Crest LN
Haywood Professional Park
Clyde, NC 28721-6620
Phone (828) 627-9998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891349F | Medicaid | NC |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30531 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Past | Accepting new patients | |
| Four Corners Anesthesia, P.a. | 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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Farmington, NM
- NPI 1093758831
-
- Pediatrics Physician
- Farmington, NM
- NPI 1093800534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790761096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FALCON CREST LN",
"address_2": "HAYWOOD PROFESSIONAL PARK",
"city": "CLYDE",
"state": "NC",
"postal_code": "287216620",
"telephone_number": "828-627-9998",
"fax_number": "828-627-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 FALCON CREST LN",
"city": "CLYDE",
"state": "NC",
"postal_code": "287216620",
"telephone_number": "828-627-9998",
"fax_number": "828-627-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHER",
"first_name": "ALLAN",
"middle_name": "NORMAN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "30531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891349F",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clyde, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.