Individual provider Active NPI

Warren M Zeitlin, MD PC

  • Cardiovascular Disease Physician
  • Sedona, AZ
National Provider Identifier
1942314208
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20208 Issued in AZ
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

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008525MedicaidAZ

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.