Zivko Z. Gajic MD. PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME39762 Issued in FL

Legal business name

ZIVKO Z. GAJIC MD. PA

Practice address

2505 Flagler Ave
Key West, FL 33040-3934

Phone

(305) 735-4177

NPI assigned

Oct 2, 2015

Organization subpart

No

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

Authorized official

Name

Daphne M Hunter, RMA

Title

Office Manager

Phone

(305) 304-3353

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Zivko Z Gajic MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Zivko Z. Gajic M.D., P.a.

  • Family Medicine Physician
  • Key West, FL
  • NPI 1700053923
  NPD tax ID

Practitioners 1

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

• Zivko Z Gajic, MD

  • Family Medicine Physician
  • Key West, FL
  • NPI 1720154172
  NPD (past)

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1982074977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 FLAGLER AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403934",
            "telephone_number": "305-735-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 FLAGLER AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403934",
            "telephone_number": "305-735-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIVKO Z. GAJIC MD. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-304-3353",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME39762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069563700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96002",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yanette Yera, APRN
• Melanie E Youschak, MD
• Luz Marina Zapata, AP
• Tammy Zelten
• Zivko Z. Gajic M.D., P.a.
• Ariana Maria Zurek

• Primary Care Clinic/Center in Key West, FL
• Providers in Key West, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.