Individual provider Active NPI

Phillip R. Zeeck, MD

  • Orthopaedic Surgery Physician
  • Odessa, TX
National Provider Identifier
1962462994
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D1123 Issued in TX
Practice address
500 N Washington Ave
Suite 400
Odessa, TX 79761-4401
Phone
(432) 337-6617
Fax
(432) 337-4905
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D1123 TX
Orthopaedic Surgery Physician 207X00000X D1123 TX Primary

Addresses

Primary practice location

500 N Washington Ave
Suite 400
Odessa, TX 79761-4401

Mailing address

P O Box 593
Odessa, TX 79761-4441
Phone (432) 337-6617

Other identifiers 1

IdentifierTypeStateIssuer
P00466661OtherTXRAILROAD MEDICARE

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

State licenses

LicenseStateTypeSpecialty
D1123TXMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1962462994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 593",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614441",
            "telephone_number": "432-337-6617",
            "fax_number": "432-337-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON AVE",
            "address_2": "SUITE 400",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614401",
            "telephone_number": "432-337-6617",
            "fax_number": "432-337-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEECK",
        "first_name": "PHILLIP",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "D1123",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "D1123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00466661",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.