Individual provider Active NPI

Zachary Giesick

  • Physician Assistant
  • Hamden, CT
National Provider Identifier
1871122705
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14170 Issued in TX
Practice address
275 Mount Carmel Ave
Hamden, CT 06518-1961
Phone
(203) 896-0132
NPI assigned
Apr 3, 2020
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA14170 TX Primary

Addresses

Primary practice location

275 Mount Carmel Ave
Hamden, CT 06518-1961

Mailing address

8300 N Lamar Blvd
Ste 200a
Austin, TX 78753-5976
Phone (512) 782-9312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211209000632 TX Practitioner - Physician Assistant 7315337144 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians

Practice addresses (Care Compare)

1201 W 38TH St
Austin, TX 78705-1006
Phone (713) 461-3573

6818 Austin Ctr Blvd
Suite 101
Austin, TX 78731-3199
Phone (512) 795-8505

901 W 38TH St
Suite 100
Austin, TX 78705-1164
Phone (512) 795-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Radiological Association Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
Singleton Associates PA Single Specialty CurrentSince Dec 4, 2023 Accepting new patients
Austin Radiological Association CurrentSince Oct 1, 2023 Accepting new patients

Locations (25 of 28)

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

12700 Lexington St
Unit 300
Manor, TX 78653
Phone (512) 776-1158

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1871122705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N LAMAR BLVD",
            "address_2": "STE 200A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535976",
            "telephone_number": "512-782-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MOUNT CARMEL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181961",
            "telephone_number": "203-896-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESICK",
        "first_name": "ZACHARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.