Ralph Arnold Zastrow, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

275 Walker St
Gardnerville, NV 89410-5540

Phone

(775) 745-3274

NPI assigned

Jul 28, 2010

Last updated

Jul 28, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1992019368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 WALKER ST",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105540",
            "telephone_number": "775-745-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 WALKER ST",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105540",
            "telephone_number": "775-745-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASTROW",
        "first_name": "RALPH",
        "middle_name": "ARNOLD",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venessa Marie Wilson, RN
• Desiree Witteman
• Christine M Wittorff, LAT, ATC, PTA
• Joseph George Yost III, BSC
• Marcie Young
• Arline M Zeidler, LCSW LIC CLIN SOC WO

• Independent Duty Corpsman in Gardnerville, NV
• Providers in Gardnerville, NV by specialty
• Independent Duty Corpsman in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.