Organization Active NPI

Marian Zinnante MD, PA

  • Obstetrics & Gynecology Physician
  • Mansfield, TX
National Provider Identifier
1972709533
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MARIAN ZINNANTE MD, PA
Practice address
120 N. Miller Rd.
Ste. 300
Mansfield, TX 76063-9173
Phone
(817) 303-0496
Fax
(817) 473-4329
NPI assigned
Jun 21, 2007
Organization subpart
Yes
Parent organization
HOUSTON AREA COMMUNITY SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Mrs. Judith Prapta
Title
Office Manager
Phone
(817) 303-0496

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X K6434 TX
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

120 N. Miller Rd.
Ste. 300
Mansfield, TX 76063-9173

Mailing address

120 N. Miller Rd
Ste 300
Mansfield, TX 76063-9173
Phone (817) 303-0496

Other identifiers 2

IdentifierTypeStateIssuer
202850806MedicaidTX
R2940OtherTXLICENSE

Other names 2

  • Avenue 360 Health and Wellness Doing business as
  • dba Women's Care Associates Doing business as

National Provider Directory

National Provider Directory

Locations

2300 Matlock Rd
Ste 100
Mansfield, TX 76063
Phone (817) 303-0496

2300 Matlock Rd
Mansfield, TX 76063
Phone (817) 303-0496

120 N Miller Rd
Ste 300
Mansfield, TX 76063
Phone (682) 341-7510

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1972709533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N. MILLER RD",
            "address_2": "STE 300",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639173",
            "telephone_number": "817-303-0496",
            "fax_number": "817-473-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N. MILLER RD.",
            "address_2": "STE. 300",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639173",
            "telephone_number": "817-303-0496",
            "fax_number": "817-473-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN ZINNANTE MD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSTON AREA COMMUNITY SERVICES, INC",
        "enumeration_date": "2007-06-21",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "PRAPTA",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-303-0496",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K6434",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202850806",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R2940",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue 360 Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avenue 360 Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "dba Women's Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.