Jason M Zannis, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS8070 Issued in FL

Practice address

1500 N University Dr
Suite #112
Coral Springs, FL 33071-8914

Phone

(954) 346-3120

Fax

(954) 346-5445

NPI assigned

Jul 27, 2006

Last updated

Aug 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2023 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Zannis Family Medical Center Inc

  • Family Medicine Physician
  • Coral Springs, FL
  • NPI 1285755405
  Authorized official Same address or phone
• Cogent Healthcare of Fort Myers, LLC

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1952352163

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1881618411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR",
            "address_2": "SUITE #112",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718914",
            "telephone_number": "954-346-3120",
            "fax_number": "954-346-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR",
            "address_2": "SUITE #112",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718914",
            "telephone_number": "954-346-3120",
            "fax_number": "954-346-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANNIS",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8070",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS8070",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264476200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Preston Zahalsky, M.D., P.A.
• Richard Edmund Zalewski II
• Anthony Zambrana
• Kelsey Zamoyski
• Zannis Family Medical Center Inc
• Bernard Zaragoza, MD
• Mark Thomas Zasloff, RN
• Sheri Zatz, PH.D
• Zee Medical, LLC
• Zee Skincare and Health Inc

• Family Medicine Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.