Vicente Santiago Zata Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036051832 Issued in IL

Practice address

106 S Water Street
Hardin, IL 62047-0106

Phone

(618) 576-9407

Fax

(618) 576-2260

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1962572982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522000",
            "telephone_number": "618-498-7518",
            "fax_number": "618-498-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S WATER STREET",
            "city": "HARDIN",
            "state": "IL",
            "postal_code": "620470106",
            "telephone_number": "618-576-9407",
            "fax_number": "618-576-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZATA",
        "first_name": "VICENTE",
        "middle_name": "SANTIAGO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036051832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051832",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000715000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janeth Concepcion Jacinto Zata, MD
• Jersey Community Hospital
• Robert H Parish Jr., D.D.S.
• Robert H. Parish, D.D.S., LTD.
• Vicente S. Zata, M.D.,P.C. (Calhoun Family Practice)
• Melissa Zipprich, PA

• Family Medicine Physician in Hardin, IL
• Providers in Hardin, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.