Organization Active NPI

Zachary Orthopaedic Care Center

  • Orthopaedic Surgery Physician
  • Zachary, LA
National Provider Identifier
1992773949
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ZACHARY ORTHOPAEDIC CARE CENTER
Practice address
4845 Main St
Suite B-1
Zachary, LA 70791-3943
Phone
(225) 658-9996
Fax
(225) 658-9970
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Brian E Kozar, MD
Title
President
Phone
(225) 658-9996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

4845 Main St
Suite B-1
Zachary, LA 70791-3943

Mailing address

PO Box 975
Zachary Ortopaedic Care Center
Zachary, LA 70791
Phone (225) 658-9996

Other identifiers 2

IdentifierTypeStateIssuer
2964486970OtherLABCBS
1069124MedicaidLA

National Provider Directory

National Provider Directory

Locations

4845 Main St
Ste B1
Zachary, LA 70791
Phone (225) 658-9996

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1992773949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 975",
            "address_2": "ZACHARY ORTOPAEDIC CARE CENTER",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "70791",
            "telephone_number": "225-658-9996",
            "fax_number": "225-658-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 MAIN ST",
            "address_2": "SUITE B-1",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913943",
            "telephone_number": "225-658-9996",
            "fax_number": "225-658-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY ORTHOPAEDIC CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "KOZAR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-658-9996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2964486970",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1069124",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.