KENNETH M ZOLLER MD NPI 1174563209

NPI Information

NPI: 1174563209
Provider Name: KENNETH M ZOLLER, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
375 WESTGATE DR
BROCKTON, MA
ZIP 02301
Phone: (508) 587-0700
Get Directions

Kenneth M Zoller, MD is a nephrology internal medicine in Brockton, MA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Kenneth M Zoller, MD NPI is 1174563209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

375 WESTGATE DR
BROCKTON, MA
ZIP 02301-818
Phone: (508) 587-0700
Fax: (508) 587-0287

The enumeration date for this NPI number is 6/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	38302	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TUFTS	OTHER	MASSACHUSETTS	038302
2	HARVARD PILGRIM	OTHER	MASSACHUSETTS	10306
3	BLUE CROSS/SHIELD	OTHER	MASSACHUSETTS	J03214
4	UNITED HEALTH CARE	OTHER	MASSACHUSETTS	31-02002
5	0128252	MEDICAID	MASSACHUSETTS
6	HEALTH NET	OTHER	MASSACHUSETTS	000000005592
7	AETNA	OTHER	MASSACHUSETTS	0597915
8	A56954	MEDICARE UPIN	MASSACHUSETTS
9	J03214	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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