Active NPI
Warren M Zeitlin, MD PC
- Cardiovascular Disease Physician
- Sedona, AZ
National Provider Identifier
1942314208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 20208
- Practice address
- 95 Soldier Pass Rd
Suite B1
Sedona, AZ 86336 - Phone
- (928) 282-5865
- Fax
- (928) 282-5742
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 20208 | AZ | Primary |
Addresses
Primary practice location
95 Soldier Pass Rd
Suite B1
Sedona, AZ 86336
Mailing address
95 Soldier Pass Rd
Suite B1
Sedona, AZ 86336
Phone (928) 282-5865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008525 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verde Valley Medical Center | Past | Accepting new patients | |
| Advanced Cardiac Specialists, Chartered | 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.
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1912174590
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1942314208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 SOLDIER PASS RD",
"address_2": "SUITE B1",
"city": "SEDONA",
"state": "AZ",
"postal_code": "86336",
"telephone_number": "928-282-5865",
"fax_number": "928-282-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 SOLDIER PASS RD",
"address_2": "SUITE B1",
"city": "SEDONA",
"state": "AZ",
"postal_code": "86336",
"telephone_number": "928-282-5865",
"fax_number": "928-282-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEITLIN",
"first_name": "WARREN",
"middle_name": "M",
"credential": "MD PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "20208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008525",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.