Perry E Zack DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02001537 Issued in IN

Legal business name

PERRY E ZACK DO

Practice address

1400 S Lake Park Ave
Suit 405
Hobart, IN 46342-6636

Phone

(219) 945-0090

Fax

(219) 945-1118

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Perry Earl Zack, D.O.NPI 1568431559

Title

Owner

Phone

(219) 945-0090

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Perry Earl Zack, DO

  • Family Medicine Physician
  • Merrillville, IN
  • NPI 1568431559
  NPD (past) Authorized official

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1881889491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "SUIT 405",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426636",
            "telephone_number": "219-945-0090",
            "fax_number": "219-945-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "SUIT 405",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426636",
            "telephone_number": "219-945-0090",
            "fax_number": "219-945-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY E ZACK DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "ZACK",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-945-0090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02001537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Marie Patten, DNP, FNP-BC
• Jonathan G. Patterson, DO
• Aaron L Pauley
• Geoffrey Pawlowski, CP
• Lenore Peek, BSN, RN
• Peter J Ferrari
• Pharma-Card West, Inc
• Donald Michael Phillips, M.D.
• Anthony Victor Piasecki, PA-C
• Melissa June Licupa Pineda, PT

• Family Medicine Physician in Hobart, IN
• Providers in Hobart, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.