Active NPI
Zachary J Vincent
- Emergency Medicine Physician
- Neosho, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2021043447
- Practice address
- 113 W Hickory St
Neosho, MO 64850-1705 - Phone
- (417) 451-1234
- NPI assigned
- May 19, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DR.0071633 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 2021043447 | MO | Primary |
| Emergency Medicine Physician | 207P00000X | 010160 | AZ |
Addresses
Primary practice location
113 W Hickory St
Neosho, MO 64850-1705
Mailing address
1102 W 32ND St
Joplin, MO 64804-3503
Phone (417) 347-6612
Other practice location 1
300 W Ottley Ave
Fruita, CO 81521-2118
Phone (970) 858-3900
Other practice location 2
1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-1111
Other practice location 3
1501 E 3rd St
Delta, CO 81416-2815
Phone (970) 874-7681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000220063 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Rocky Vista University College of Osteopathic Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 E 3Rd St
Delta Health
Delta, CO 81416-2815
Phone (970) 874-7681
16815 W Bell Rd
Surprise, AZ 85374-2101
Phone (800) 562-2945
2351 G Rd
Grand Junction, CO 81505-9641
Phone (970) 242-0920
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10160 | AZ | MD | Pharmacist |
| 010160 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Valley Hospital Association | Family Medicine | Current | Accepting new patients |
| Arizona Acute Medical Services 1 PC | Current | Accepting new patients | |
| Colorado West Healthcare System | Current | Accepting new patients | |
| Lower Valley Hospital Association | Current | Accepting new patients | |
| Emergency Group of Arizona Professional Corporation | Emergency Medicine | Current | Accepting new patients |
| Colorado West Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Delta County Memorial Hospital | Current | Accepting new patients | |
| Lower Valley Hospital Association | Emergency Medicine | Current | Accepting new patients |
| Colorado West Healthcare System | Current | Accepting new patients | |
| Delta County Memorial Hospital | Current | Accepting new patients | |
| Colorado West Healthcare System | Family Medicine | Current | Accepting new patients |
| Lower Valley Hospital Association | Current | Accepting new patients | |
| Community Medical Group, LLC | Family Medicine | Past | Accepting new patients |
Locations
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400
1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668
1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470
Dept 0861
Denver, CO 80256
Phone (970) 298-1977
300 W Ottley Ave
#W
Fruita, CO 81521
300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900
2351 G Rd
Grand Junction, CO 81505
Phone (970) 242-0920
2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009
Organizations & group practices 13
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.
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1497723407
Family Medicine
-
- Rural Acute Care Hospital
- Delta, CO
- NPI 1417935446
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1215275433
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1154860674
-
- Emergency Medicine Physician
- Grand Junction, CO
- NPI 1780626069
-
- Anesthesiology Physician
- Fruita, CO
- NPI 1609190206
Emergency Medicine
-
- Critical Access Hospital
- Fruita, CO
- NPI 1861496697
-
- Plastic Surgery Physician
- Grand Junction, CO
- NPI 1205239555
-
- Specialist
- Grand Junction, CO
- NPI 1811398324
-
- Rural Health Clinic/Center
- Delta, CO
- NPI 1629521539
-
- Family Medicine Physician
- Grand Junction, CO
- NPI 1194323832
-
- Endocrinology, Diabetes & Metabolism Physician
- Fruita, CO
- NPI 1346095098
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1497723407
-
- Critical Access Hospital
- Fruita, CO
- NPI 1861496697
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1962025585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 W 32ND ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043503",
"telephone_number": "417-347-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W HICKORY ST",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648501705",
"telephone_number": "417-451-1234"
}
],
"practiceLocations": [
{
"address_1": "300 W Ottley Ave",
"address_purpose": "LOCATION",
"city": "Fruita",
"state": "CO",
"postal_code": "815212118",
"country_code": "US",
"telephone_number": "970-858-3900",
"fax_number": "970-858-2202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1102 W 32nd St",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "648043503",
"country_code": "US",
"telephone_number": "417-347-1111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 E 3rd St",
"address_purpose": "LOCATION",
"city": "Delta",
"state": "CO",
"postal_code": "814162815",
"country_code": "US",
"telephone_number": "970-874-7681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINCENT",
"first_name": "ZACHARY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-19",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "DR.0071633",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2021043447",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "010160",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000220063",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Neosho, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.