Douglas J Zinni DO a Prof Corp

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

842 Issued in NV

Legal business name

DOUGLAS J ZINNI DO A PROF CORP

Practice address

1301 Bertha Howe Ave
Suite 8
Mesquite, NV 89027-7502

Phone

(702) 346-1700

Fax

(702) 346-3563

NPI assigned

Dec 12, 2006

Last updated

May 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas J Zinni, DO

Title

Owner

Phone

(702) 346-1700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1942360441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE",
            "address_2": "SUITE 8",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277502",
            "telephone_number": "702-346-1700",
            "fax_number": "702-346-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE",
            "address_2": "SUITE 8",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277502",
            "telephone_number": "702-346-1700",
            "fax_number": "702-346-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J ZINNI DO A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "ZINNI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-346-1700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018376",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.